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 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.