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Article: Spontaneous circumferential intramural esophageal dissection complicated with esophageal perforation and esophageal-pleural fistula: a case report and literature review

TitleSpontaneous circumferential intramural esophageal dissection complicated with esophageal perforation and esophageal-pleural fistula: a case report and literature review
Authors
Issue Date2016
Citation
Diseases of the Esophagus, 2016, v. 29, n. 7, p. 872-879 How to Cite?
Abstract© 2014 International Society for Diseases of the Esophagus Spontaneous intramural esophageal dissection (IED) is a rare disease entity. There are few reports of spontaneous IED requiring surgical treatment. Hereby, we report a 37-year-old gentleman who was diagnosed to have spontaneous extensive circumferential IED complicated with esophageal perforation, empyema, and esophageal-pleural fistula. Esophageal stenting and drainage of empyema were unsuccessful. Computed tomography and gastrografin contrast swallow demonstrated a leak to the pleural cavity, suggestive of esophageal-pleural fistula. Subsequently, a two-stage operation was performed: cervical esophagogastrostomy to bypass the perforated esophagus, followed by esophagectomy and decortication of the right lung. The patient recovered and was discharged home after a 3-week hospitalization. The management principles and recent published literature related to IED were reviewed.
Persistent Identifierhttp://hdl.handle.net/10722/195933
ISSN
2015 Impact Factor: 2.146
2015 SCImago Journal Rankings: 0.760

 

DC FieldValueLanguage
dc.contributor.authorZhu, RYen_US
dc.contributor.authorLaw, TTen_US
dc.contributor.authorTong, DKHen_US
dc.contributor.authorTam, Gen_US
dc.contributor.authorLaw, SYKen_US
dc.date.accessioned2014-03-21T02:22:38Z-
dc.date.available2014-03-21T02:22:38Z-
dc.date.issued2016-
dc.identifier.citationDiseases of the Esophagus, 2016, v. 29, n. 7, p. 872-879en_US
dc.identifier.issn1120-8694-
dc.identifier.urihttp://hdl.handle.net/10722/195933-
dc.description.abstract© 2014 International Society for Diseases of the Esophagus Spontaneous intramural esophageal dissection (IED) is a rare disease entity. There are few reports of spontaneous IED requiring surgical treatment. Hereby, we report a 37-year-old gentleman who was diagnosed to have spontaneous extensive circumferential IED complicated with esophageal perforation, empyema, and esophageal-pleural fistula. Esophageal stenting and drainage of empyema were unsuccessful. Computed tomography and gastrografin contrast swallow demonstrated a leak to the pleural cavity, suggestive of esophageal-pleural fistula. Subsequently, a two-stage operation was performed: cervical esophagogastrostomy to bypass the perforated esophagus, followed by esophagectomy and decortication of the right lung. The patient recovered and was discharged home after a 3-week hospitalization. The management principles and recent published literature related to IED were reviewed.-
dc.languageengen_US
dc.relation.ispartofDiseases of the Esophagusen_US
dc.titleSpontaneous circumferential intramural esophageal dissection complicated with esophageal perforation and esophageal-pleural fistula: a case report and literature reviewen_US
dc.typeArticleen_US
dc.identifier.emailTong, DKH: esodtong@hku.hken_US
dc.identifier.emailLaw, SYK: slaw@hku.hken_US
dc.identifier.authorityLaw, SYK=rp00437en_US
dc.identifier.doi10.1111/dote.12200-
dc.identifier.pmid24602017-
dc.identifier.scopuseid_2-s2.0-84991106882-
dc.identifier.hkuros228319en_US

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