无症状性食管壁内夹层：一例报告及文献综述。
Asymptomatic intramural esophageal dissection: A case report and literature review.
作者信息
Cheng Gong, Wang Li, You Jiateng, Cheng Liangliang, Yang Fan, Wang Xiaolu, He Fang, Li Changjin, Wei Xiaoguo
机构信息
Department of Gastroenterology, Gansu Provincial Hospital, Lanzhou, China.
Department of Hematology, Gansu Provincial Hospital of TCM, Lanzhou, China.
出版信息
Medicine (Baltimore). 2025 May 30;104(22):e42632. doi: 10.1097/MD.0000000000042632.
RATIONALE
Intramural esophageal dissection (IED) is a rare condition, with asymptomatic cases not previously reported. This report aims to highlight an incidental finding of IED in a patient undergoing routine gastroscopy.
PATIENT CONCERNS
A 41-year-old male with decompensated liver cirrhosis underwent gastroscopy, revealing IED without prior symptoms or history of esophageal surgery or injury.
DIAGNOSES
IED.
INTERVENTIONS
Conservative treatment was chosen due to the patient's poor coagulation function and low platelet count, avoiding potential complications such as swallowing difficulties or hematemesis.
OUTCOMES
The patient remained asymptomatic and stable during follow-up.
LESSONS
This case underscores the importance of considering IED in differential diagnoses, even in asymptomatic patients, and highlights conservative management's efficacy in specific scenarios.
原理
壁内食管剥离术（IED）是一种罕见病症，此前未报道过无症状病例。本报告旨在强调在一名接受常规胃镜检查的患者中偶然发现的IED。
患者情况
一名41岁失代偿期肝硬化男性接受胃镜检查，发现患有IED，此前无任何症状，也无食管手术或损伤史。
诊断
IED。
干预措施
由于患者凝血功能差且血小板计数低，选择了保守治疗，以避免吞咽困难或呕血等潜在并发症。
结果
患者在随访期间无症状且病情稳定。
经验教训
该病例强调了在鉴别诊断中考虑IED的重要性，即使是无症状患者，同时突出了保守治疗在特定情况下的有效性。
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