Tariq Tooba, Rizvi Asad, Badwal Karun, Eke Ransome
Department of Internal Medicine, Western Michigan University, MD Homer Stryker School of Medicine, Kalamazoo, MI.
College of Osteopathic Medicine, Michigan State University, East Lansing, MI.
ACG Case Rep J. 2018 Sep 26;5:e66. doi: 10.14309/crj.2018.66. eCollection 2018.
Spontaneous intramural esophageal rupture (SIER) is a form of acute esophageal trauma defined as an injury deeper than a Mallory-Weiss tear but not extending completely through the muscular propria as in Boerhaave syndrome. SIER is a rare complication of eosinophilic esophagitis (EoE); after extensive literature review, we found 7 case reports of SIER complicating EoE. We present a case of SIER complicating EoE in a 46-year-old man with an atypical presentation requiring endoscopic clipping to achieve successful hemostasis.
自发性食管壁内破裂（SIER）是一种急性食管创伤形式，定义为损伤程度比马洛里-魏斯撕裂更深，但不像博赫哈夫综合征那样完全穿透固有肌层。SIER是嗜酸性食管炎（EoE）的一种罕见并发症；经过广泛的文献检索，我们发现了7例SIER并发EoE的病例报告。我们报告一例46岁男性SIER并发EoE的病例，其临床表现不典型，需要内镜下夹闭以成功止血。
