Medicine · 2025
Asymptomatic intramural esophageal dissection: A case report and literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
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Cheng Gong, Wang Li, You Jiateng, Cheng Liangliang, Yang Fan, Wang Xiaolu, He Fang, Li Changjin, Wei Xiaoguo
Аннотация
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.
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.