Intramural rupture of the oesophagus.

Marks, I. N.; Keet, Albertus D.

doi:10.1136/bmj.3.5617.536

Cited by 94 publications

(52 citation statements)

References 6 publications

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“…been approximately 50 reported cases of intramural esophageal dissection. 10) The diagnosis is part of the spectrum of esophageal injuries which includes a Mallory-Weiss tear and Boerhaave's syndrome. 4) Patients are typically women in their seventh or eighth decade with known coagulopathy or who are on anticoagulant therapy.…”

Section: Discussionmentioning

confidence: 99%

Intramural Esophageal Dissection in a Young Man with Eosinophilic Esophagitis

Predina

Anolik

Judy

et al. 2012

ATCS

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Intramural esophageal dissection is a rare disorder that should be considered in patients presenting with chest pain, dysphagia, and hematemesis. Although most commonly occurring in elderly women with impaired coagulation, esophageal dissection has also been observed in other demographics including in those with eosinophilic esophagitis. In our report, we present the case of a 19-year-old man who was found to have an intramural esophageal dissection in the setting of undiagnosed eosinophilic esophagitis. There have been multiple, proposed management strategies; however, we implemented a nonoperative approach and obtained successful results. Intramural esophageal dissection is an important diagnosis for thoracic surgeons to be aware of as these patients often present as surgical emergencies, but often do not require an acute surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Intramural Esophageal Dissection in a Young Man with Eosinophilic Esophagitis

Predina

Anolik

Judy

et al. 2012

ATCS

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“…A ruptured intramural hematoma of the esophagus was described by Williams in 1957 [1] and by Marks and Keet in 1968 [2]. In a literature review by Kerr in 1980 only 20 of these cases are reported [3].…”

Section: Discussionmentioning

confidence: 99%

Intramural hematoma of the esophagus caused by minor head injury 6 hours previously

Vries¹,

Kremer-Schneider²,

Otten³

1991

Gastrointest Radiol

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“…Submucosal bleeding and intramural dissection of the esophageal wall, giving rise to an intramural hematoma, has been described as resulting from emetics [9][10][11][12][13][14][15][16], after ingestion of a foreign body and endoscopic instrumentation [17], following remote trauma [18], or as a spontaneous event in patients with impaired hemostasis such as in thrombocytopenia [13,15,19,20], in hemophiliacs [21], and in patients receiving anticoagulation therapy [14,15,17,22], as well as in patients with normal hemostasis [9,16,23,24]. In contrast to patients with a Mallory-Weiss laceration, who present with signs of upper gastrointestinal bleeding with or without pain [l 1], and patients with Boerhaave's syndrome, who present with excruciating pain in the thorax or upper abdomen, signs of circulatory collapse, and often subcutaneous or mediastinal emphysema [11], patients with intramural esophageal hematoma present with a sudden onset of a triad of symptoms: dysphagia, odynophagia, and hematemesis [13,15,24].…”

Section: Discussionmentioning

confidence: 99%

“…This appearance is often best shown on a lateral view since posterior hematomas are relatively common [9,12]. In some patients, the esophagogram reveals a "double-barrelled" esophagus, in which contrast material can be observed in both the true lumen of the esophagus and the intramural cav!ty [10,11,17,23]. Based on a review of 26 patients with esophageal hematoma, Shay et al [13] found that in patients with normal hemostasis, the hematoma always presented radiologically as a single lesion involving the distal esophagus.…”

Section: Discussionmentioning

confidence: 99%