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Asymptomatic intramural esophageal dissection: a case report and literature review

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 cir...

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Main Authors: Cheng, Gong (Author) , Wang, Li (Author) , You, Jiateng (Author) , Cheng, Liangliang (Author) , Yang, Fan (Author) , Wang, Xiaolu (Author) , He, Fang (Author) , Li, Changjin (Author) , Wei, Xiaoguo (Author)
Format: Article (Journal)
Language:English
Published: May 30,2025
In: Medicine
Year: 2025, Volume: 104, Issue: 22, Pages: 1-5
ISSN:1536-5964
DOI:10.1097/MD.0000000000042632
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1097/MD.0000000000042632
Verlag, kostenfrei, Volltext: https://journals.lww.com/md-journal/fulltext/2025/05300/asymptomatic_intramural_esophageal_dissection__a.13.aspx
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Author Notes:Gong Cheng, MMa, Li Wang, MMb, Jiateng You, BMc, Liangliang Cheng, PhDd, Fan Yang, MMa, Xiaolu Wang, MDe, Fang He, MMa, Changjin Li, MMa, Xiaoguo Wei, MM
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Summary: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.
Item Description:Gesehen am 17.09.2025
Physical Description:Online Resource
ISSN:1536-5964
DOI:10.1097/MD.0000000000042632

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