Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Intramural Esophageal Dissection after Endoscopy: A Case Report

위장관 내시경 후에 발생한 벽내성 식도 박리: 1예 보고

  • Han, Ki-Tae (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kim, Song-Soo (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kim, Jin-Hwan (Department of Radiology, Chungnam National University Hospital, Chungnam National University School of Medicine)
  • 한기태 (충남대학교 의과대학 충남대학교병원 영상의학과학교실) ;
  • 김성수 (충남대학교 의과대학 충남대학교병원 영상의학과학교실) ;
  • 김진환 (충남대학교 의과대학 충남대학교병원 영상의학과학교실)
  • Published : 2011.11.01
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Abstract

Intramural esophageal dissection (IED) is an uncommon disorder characterized by a seperation between the esophageal mucosa and submucosa with or without perforation. IED is usually related with an abrupt increase in intraesophageal pressure, history of recent instrumentation, and a coagulation disorder. We report a case of IED showing extensive dissection into the wall of the stomach, which successfully subsided by conservative treatment.

벽내성 식도박리(Intramural esophageal dissection)는 식도의 점막 혹은 점막하층과 근육층 사이가 분리되는 흔치 않은 질환으로, 식도 내 기구삽입이나 혈액응고장애 등에 의한 갑작스런 식도내압의 상승에 의해 발생되며, 천공이 동반될 수 있다. 건강검진을 위해 상부 위장관 내시경을 시행 받던 중, 갑작스런 인후부 통증이 발생하여 시행한 전산화단층촬영에서 식도 전장과 위에 걸쳐 광범위한 점막내 박리 및 미세 천공의 소견이 있었으나, 보존적 치료로 호전된 1예를 보고하고자 한다.

Keywords

References

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