复发性自发性食管夹层

Recurrent spontaneous esophageal dissection.

作者信息

Stephens Nicholas A, Shah Shinil K, Walker Peter A, Jayanty Vikram, Raijman Isaac, Khalil Kamal

机构信息

Department of Surgery, University of Texas Medical School at Houston, Houston, TX, USA.

Department of Surgery, University of Texas Medical School at Houston, 6431 Fannin Street, Houston, TX 77030, USA; Michael E. DeBakey Institute for Comparative Cardiovascular Science and Biomedical Devices, Texas A & M University, College Station, TX, USA.

出版信息

JSLS. 2014 Apr-Jun;18(2):342-5. doi: 10.4293/108680813X13693422518678.

DOI:10.4293/108680813X13693422518678

PMID:24960504

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4035651/

Abstract

INTRODUCTION

Spontaneous esophageal dissection is a rare disorder of the esophagus.

CASE DESCRIPTION

We present what is believed to be the first reported case of recurrent esophageal dissection in a previously healthy 33-year-old man with chronic eosinophilic esophagitis. He had two episodes of spontaneous dissection of the midesophagus separated by a 5-month interval. Both episodes responded to treatment with endoscopic intervention. He has remained free of additional recurrences after definitive endoscopic therapy and oral steroid therapy. A complete description of the case, relevant radiologic imaging, and a review of the relevant literature are provided.

DISCUSSION

Endoscopic therapy is an option for the management of recurrent esophageal dissection.

摘要

引言

自发性食管夹层是一种罕见的食管疾病。

病例描述

我们报告了一例据信是首例复发性食管夹层的病例，患者为一名33岁既往健康的男性，患有慢性嗜酸性粒细胞性食管炎。他发生了两次食管中段自发性夹层，间隔时间为5个月。两次发作均通过内镜干预治疗得到缓解。在确定性内镜治疗和口服类固醇治疗后，他未再出现复发。本文提供了该病例的完整描述、相关影像学检查以及相关文献综述。