Journal of Medicine and Life Science

Institute for Medical Science (제주대학교 의과학연구소)
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Intramural esophageal dissection after endoscopy: A case report in a hypopharyngeal cancer patient treated with concurrent chemoradiotherapy

  • Park, Jae Hwi (Department of Radiology, Jeju National University School of Medicine) ;
  • Jeong, Sun Young (Department of Radiology, Jeju National University School of Medicine) ;
  • Song, Hyun Joo (Department of Internal Medicine, Jeju National University School of Medicine) ;
  • Kim, Miok (Department of Internal Medicine, Jeju National University School of Medicine) ;
  • Ko, Su Yeon (Department of Radiology, Jeju National University School of Medicine)
  • Received : 2020.03.28
  • Accepted : 2020.04.22
  • Published : 2020.04.30
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Abstract

Intramural esophageal dissection is a rare disorder characterized by a separation of the mucosa and/or submucosa from deeper muscular layers of the esophagus, with or without perforation. Iatrogenic instrumentation such as endoscopy is one of the major causes of IED. We report a case of IED after endoscopy in a patient with hypopharyngeal cancer treated with concurrent chemoradiotherapy, and suggest that a history of chemoradiotherapy can be a risk factor of IED on endoscopy. In this case, chest computed tomography scans show not only typical esophageal double lumen but also eccentric esophageal wall thickening and abnormally thin the other side esophageal wall, and this CT finding may also be important to diagnose IED.

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References

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