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KMID : 0882420110810060759
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Korean Journal of Medicine
2011 Volume.81 No. 6 p.759 ~ p.763
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A Case of Esophageal Submucosal Dissection that Developed after Endoscopic Biopsy
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Kim Dong-Hyun
Yoon Jung-Bin
Kim Dong-Wan
Jang Se-Won
Yoon Jong-Min
Kim Min-Jung
Kim Sang-Hyun
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Abstract
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The incidence of gastrointestinal complications has increased as endoscopic biopsy has become a standard diagnostic technique. However, esophageal dissection is a rare complication. A 71-year-old man suffered retrosternal pain for 15 days. Fifteen days previously, he had undergone an endoscopic gastrointestinal examination at a local clinic and an esophageal biopsy to obtain microscopic confirmation of esophageal candidiasis. The patient then underwent a subsequent endoscopic examination, which showed features specific to esophageal submucosal dissection. The predisposing conditions for esophageal dissection are coagulopathy, iatrogenic trauma (variceal sclerotherapy), drugs (thrombolytic agents, aspirin), foreign bodies/certain foods (fish, chicken bones), and emesis. However, endoscopic biopsy is a rare predisposing condition. Here, we report a case of esophageal submucosal dissection that developed after esophageal biopsy. We observed the healing process of this lesion with a series of endoscopies as part of a conservative treatment plan.
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KEYWORD
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Esophageal disease, Dissection, Endoscopy, Biopsy
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