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...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
May 30,2025
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| In: |
Medicine
Year: 2025, Jahrgang: 104, Heft: 22, Pages: 1-5 |
| ISSN: | 1536-5964 |
| DOI: | 10.1097/MD.0000000000042632 |
| Online-Zugang: | 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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| Verfasserangaben: | 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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| 245 | 1 | 0 | |a Asymptomatic intramural esophageal dissection |b a case report and literature review |c 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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| 520 | |a 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. | ||
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