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KMID : 0364020090420050657
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 5 p.657 ~ p.661
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Intramural Dissection and Mucosal Laceration of the Esophagus in a Patient Who Was on Antiplatelets Medication-A case report-
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Kim Kyung-Hwa
Kuh Ja-Hong
Lee Jeong-Moon
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Abstract
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Intramural esophageal dissection is a rare disorder that’s characterized by a lengthy laceration between the mucosal and submucosal layers of the esophageal wall, and the esophageal wall is without perforation. The three different types of acute esophageal injury are a mucosal tear (Mallory-Weiss syndrome), full-thickness rupture (Boerhaave’s syndrome) and intramural esophageal dissection. Most intramural esophageal dissections respond to conservative management with a very good prognosis. This rare condition should be considered in patients who present with acute chest pain, dysphagia or odynophagia, and particularly in the presence of a bleeding disorder or where there has been recent administration of antiplatelet medication, anticoagulants or thrombolytics to avoid inappropriate treatment with surgery. We present here a rare case of intramural dissection of the esophagus that occurred when the patient was taking antiplatelet medication.
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KEYWORD
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Esophagus, Dissection
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