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慢性食管夹层:一名15岁男性的延迟诊断

Chronic esophageal dissection: Delayed diagnosis in a 15-year-old male.

作者信息

Vakharia Nilesh, Sirisena Udawattage Darshana Nadeeka, Mandalia Uday

机构信息

Department of Head and Neck Surgery, University College London Hospitals NHS Foundation Trust, London, United Kingdom.

Department of Radiology, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.

出版信息

J Clin Imaging Sci. 2022 Apr 16;12:16. doi: 10.25259/JCIS_3_2022. eCollection 2022.

Abstract

Esophageal dissection is a rare condition, characterized by disruption of the submucosa from the muscular layer of the esophageal wall. It is commonly iatrogenic in etiology and patients typically present with acute onset dysphagia, odynophagia, and retrosternal pain. The condition can be diagnosed endoscopically; however, contrast swallow studies either with CT or fluoroscopy carry less risk and are the imaging investigations of choice for this condition. Patients are managed conservatively in the majority of cases. In this case report, we present a case of chronic esophageal dissection in a 15-year-old male who had undergone endoscopic removal of a foreign body from the esophagus several years prior. We discuss the clinical features, radiological diagnosis, and management of this condition.

摘要

食管夹层是一种罕见的病症,其特征是食管壁黏膜下层与肌层分离。病因通常为医源性,患者通常表现为急性起病的吞咽困难、吞咽痛和胸骨后疼痛。该病症可通过内镜诊断;然而,CT或荧光透视造影吞咽研究风险较小,是该病症的首选影像学检查。大多数情况下,患者采用保守治疗。在本病例报告中,我们介绍了一名15岁男性慢性食管夹层患者,该患者几年前曾接受过食管异物内镜取出术。我们讨论了该病症的临床特征、放射学诊断和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62cc/9062898/e3f2006294a1/JCIS-12-16-g001.jpg

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