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The Korean Journal of Medicine 2009;77(2): 223-226.
식도 전장에 걸친 자발성 점막하 식도 박리 1예
김동희, 장병익, 문희정, 오희주, 김용길, 은종렬, 김태년
Spontaneous submucosal dissection of the entire esophagus in a healthy man
Dong Hee Kim, Byung Ik Jang, Hee Jung Moon, Hee Ju Oh, Yong Kil Kim, Jong Ryul Eun, Tae Nyeun Kim
ABSTRACT
Esophageal submucosal dissection can be caused by foreign bodies and endoscopic procedures. It rarely develops spontaneously. If a submucosal hematoma and false lumen are observed at esophagogastroduodenoscopy, the lesion will heal after 7 to 10 days of conservative treatment. A 71-year-old man with sudden-onset chest pain, dyspnea, and a small amount of hematemesis was examined using chest computed tomography (CT) and esophagogastroduodenoscopy. He was diagnosed with submucosal dissection of the esophagus. After 13 days of conservative treatment, esophagogastroduodenoscopy showed mucosal exfoliation and a healing ulcer, and he was discharged without complications. (Korean J Med 77:223-226, 2009)
Keywords: Esophagus; Submucosal dissection; Esophagogastroduodenoscopy
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