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Submucosal esophageal abscess evolving into intramural submucosal dissection: A case report.

Authors :
Jiao Y
Sikong YH
Zhang AJ
Zuo XL
Gao PY
Ren QG
Li RY
Source :
World journal of clinical cases [World J Clin Cases] 2022 Oct 16; Vol. 10 (29), pp. 10695-10700.
Publication Year :
2022

Abstract

Background: Here we report a rare case of submucosal esophageal abscess evolving into intramural submucosal dissection.<br />Case Summary: An 80-year-old woman was admitted to our emergency department with a chief complaint of dysphagia and fever. Laboratory tests showed mild leukocytosis and elevated C-reactive protein level. Computed tomography showed thickening of the esophageal wall. Upper endoscopy showed a laceration of the esophageal mucosa and a submucosal mass. Spontaneous drainage occurred, and we could see purulent exudate from the crevasse. We closed the laceration with endoscopic clips. The patient did not remember swallowing a foreign body; however, she ate crabs before the symptoms occurred. We prescribed the patient with antibiotic, and the symptoms were gradually relieved. Two months later, upper endoscopy showed that the laceration was healed, and the submucosal abscess disappeared. However, intramural esophageal dissection was formed. We performed endoscopic incision of the septum using dual-knife effectively.<br />Conclusion: In conclusion, we are the first to report the case of esophageal submucosal abscess evolving into intramural esophageal dissection. The significance of this case lies in clear presentation of the evolution process between two disorders. In addition, we recommend that endoscopic incision be considered as one of the routine therapeutic modalities of intramural esophageal dissection.<br />Competing Interests: Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.<br /> (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.)

Details

Language :
English
ISSN :
2307-8960
Volume :
10
Issue :
29
Database :
MEDLINE
Journal :
World journal of clinical cases
Publication Type :
Report
Accession number :
36312467
Full Text :
https://doi.org/10.12998/wjcc.v10.i29.10695