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原发性食管黏膜下脓肿

Primary submucosal esophageal abscess.

作者信息

Kumar Ravi, Ray Roshan, Rai Roma, Desai Arusha, Muthukrishnan J, Sharma P K, Dawra Saurabh

机构信息

Resident, Department of Internal Medicine, Armed Forces Medical College, Pune, India.

Classified Specialist (Radiodiagnosis), Command Hospital (Southern Command), Pune, India.

出版信息

Med J Armed Forces India. 2025 Mar-Apr;81(2):232-235. doi: 10.1016/j.mjafi.2024.11.011. Epub 2025 Jan 7.

Abstract

Primary submucosal esophageal abscess is an extremely rare entity, often presenting as a diagnostic and therapeutic dilemma. We report the case of a previously healthy 20 year old male who presented with progressive dysphagia primarily to solids, epigastric pain, and intermittent fever of 01-week duration. On investigation, he had neutrophilic leukocytosis. Contrast-enhanced computerized tomography (CECT) of the chest and abdomen showed focal esophageal wall thickening and distal esophageal dilatation.

摘要

原发性食管黏膜下脓肿是一种极其罕见的病症,常常表现为诊断和治疗上的难题。我们报告一例病例,患者为一名20岁既往健康男性,主要表现为进行性吞咽困难,以固体食物为主,伴有上腹部疼痛以及持续1周的间歇性发热。经检查,他有中性粒细胞增多症。胸部和腹部的增强计算机断层扫描(CECT)显示食管壁局灶性增厚及食管远端扩张。

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A case of submucosal abscess of the esophagus mimicking a mediastinal abscess.食管黏膜下脓肿误诊为纵隔脓肿 1 例
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