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Intramural esophageal dissection


Authors: M. Lučenič 1;  Z. Zsemlye 1;  T. Hlavatý 2;  T. Koller 2
Authors‘ workplace: 1. Klinika hrudníkovej chirurgie SZU, Univerzitná nemocnica Bratislava, Slovenská republika prednosta: Prof. MUDr. S. Haruštiak, CSc. 1;  V. interná klinika LFUK, Univerzitná nemocnica Bratislava, Slovenská republika prednosta: Prof. MUDr. J. Payer, CSc. 2
Published in: Rozhl. Chir., 2013, roč. 92, č. 8, s. 450-454.
Category: Case Report

Overview

The intramural esophageal dissection is a rare condition with benign course, good prognosis and low mortality. It is difficult to differentiate it from an esophageal perforation at the presentation time. The conservative therapy should be considered as the treatment of choice in most cases. Complications such as esophageal perforation, massive bleeding or persistence of the symptoms are well accepted indications for surgical procedure. Radical treatment in the form of esophagectomy is extremely rare and it is usually indicated only for patients with complicated esophageal perforation. The authors offer two cases with female patients suffering from the intramural esophageal dissection who were indicated for esophagectomy without any proven esophageal perforation.

Key words:
intramural esophageal dissection – esophageal perforation – dysphagia


Sources

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