Intramural esophageal dissection
Authors:
M. Lučenič 1; Z. Zsemlye 1; T. Hlavatý 2
; T. Koller 2
Authors place of work:
1. Klinika hrudníkovej chirurgie SZU, Univerzitná nemocnica Bratislava, Slovenská republika
prednosta: Prof. MUDr. S. Haruštiak, CSc.
1; V. interná klinika LFUK, Univerzitná nemocnica Bratislava, Slovenská republika
prednosta: Prof. MUDr. J. Payer, CSc.
2
Published in the journal:
Rozhl. Chir., 2013, roč. 92, č. 8, s. 450-454.
Category:
Case Report
Summary
The intramural esophageal dissection is a rare condition with benign course, good prognosis and low mortality. It is difficult to differentiate it from an esophageal perforation at the presentation time. The conservative therapy should be considered as the treatment of choice in most cases. Complications such as esophageal perforation, massive bleeding or persistence of the symptoms are well accepted indications for surgical procedure. Radical treatment in the form of esophagectomy is extremely rare and it is usually indicated only for patients with complicated esophageal perforation. The authors offer two cases with female patients suffering from the intramural esophageal dissection who were indicated for esophagectomy without any proven esophageal perforation.
Key words:
intramural esophageal dissection – esophageal perforation – dysphagia
Zdroje
1. Hanson JM, Neilson D, Pettit SH. Intramural oesophageal dissection. Thorax 1991;46:524–527.
2. Phan GQ, Heitmiller RF. Intramural Esophageal Dissection. Ann Thorac Surg 1997;63:1785–1786.
3. Beumer JD, Devitt PG, Thompson SK. Intramural oesophageal dissection. ANZ J Surg 2010;80:91–95.
4. Hutchinson R, Ahmed RA, Menzies D. A case of intramural oesophageal dissection secondary to nasogastric tube insertion. Ann R Coll Surg Engl 2008;80:1–4.
5. El Hajj II, Luz LP, Fayad NF. Intramural esophageal dissection after trans-esophageal echocardiogram. Digest Liver Dis 2012;44:883.
6. Zuleta MG, Goméz AR, Siado A. Intramural oesophageal hematoma: Dissection of the perforation. Rev Col Gastroenterol 2012;27: 123–127.
7. Steadman C, Kerlin P, Crimmins F, et al. Spontaneous intramural rupture of the oesophagus. Gut 1990;31:845–849.
8. Katabathina VS, Restrepo CS, Martinez-Jimenez S, et al. Nonvascular, Nontraumatic Mediastinal Emergencies in Adults: A Comprehensive Review of Imaging Findings. RadioGraphics 2011;31: 1141–1160.
9. Janík M, Krajč T, Haruštiak S, et al. Spontánna perforácia pažeráka. In: Orosová J, Rozborilová E, Kasan P, et al. Pneumológia, pneumoonkológia a hrudníková chirurgia, 1. vyd. Bratislava, INFOMA Business Trading 2011;238–241.
10. Young CA, Menias CO, Bhalla S, et al. CT Features of Esophageal Emergencies 1. RadioGraphics 2008;28:1541–1553.
11. Lamont G, Elliott S, Morris DL. Spontaneous intramural oesophageal dissection. Thorax 1985;40:558–559.
12. Soulellis CA, Hilzenrat N, Levental M. Intramucosal esophageal dissection leading to esophageal perforation: case report and review of the literature. Gastroenterol Hepatol 2008;4:362–365.
13. Bak YT, Kwon OS, Yeon JE, et al. Endoscopic treatment in a case with extensive spontaneous intramural dissection of the oesophagus. Eur J Gastroenterol Hepatol 1998;10:969-72.
14. Kim SH, Lee S-O. Circumferential intramural esophageal dissection successfully treated by endoscopic procedure and metal stent insertion. J Gastroenterol 2005;40:1065–1069.
15. Janík M, Krajč T, Benej R, et al. Aktuálne trendy v liečbe akútnej mediastinitídy. In: Orosová J, Rozborilová E, Kasan P, et al. Pneumológia, pneumoonkológia a hrudníková chirurgia, 1. vyd. Bratislava, INFOMA Business Trading 2011;234–237.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2013 Číslo 8
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
Najčítanejšie v tomto čísle
- Working under supervision
- Compliance with the procedures of modern perioperative care (Enhanced Recovery After Surgery) at surgery departments in the Czech Republic – results of a national survey
- Informed consent
- Lege artis