Hsu C C, Changchien C S
Dept. of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan.
Endoscopy. 2001 Apr;33(4):379-81. doi: 10.1055/s-2001-13696.
A 41-year-old woman was admitted to our hospital complaining of chest pain, dysphagia, and odynophagia after an upper respiratory tract infection and nasogastric tube insertion. An upper endoscopy showed a large submucosal bulge along the posterior wall from the upper esophagus with mucosal tears and bridge formation, extending down to the lower esophagus. A barium esophagogram revealed a "double-barreled" esophagus, and chest computed tomography (CT) scan showed eccentric thickening of the esophageal wall. The diagnosis of intramural esophageal dissection (IED) was made and the patient was managed conservatively with nothing by mouth and intravenous hydration. The clinical course was uneventful; the patient was discharged later and up to the time of writing has been completely asymptomatic, with normal swallowing function.
一名41岁女性因上呼吸道感染和插入鼻胃管后出现胸痛、吞咽困难和吞咽痛而入住我院。上消化道内镜检查显示，从食管上段后壁有一个大的黏膜下隆起，伴有黏膜撕裂和桥形成，向下延伸至食管下段。食管钡餐造影显示“双管”食管，胸部计算机断层扫描（CT）显示食管壁偏心增厚。诊断为壁内食管夹层（IED），患者接受保守治疗，禁食并静脉补液。临床过程平稳；患者随后出院，截至撰写本文时完全无症状，吞咽功能正常。
