Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Spontaneous Intramural Full-Length Dissection of Esophagus Treated with Surgical Intervention: Multidetector CT Diagnosis with Multiplanar Reformations and Virtual Endoscopic Display

  • Khil, Eun Kyung (Department of Radiology, Soonchunhyang University Hospital Bucheon) ;
  • Lee, Heon (Department of Radiology, Soonchunhyang University Hospital Bucheon) ;
  • Her, Keun (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital Bucheon)
  • Received : 2013.05.03
  • Accepted : 2013.10.21
  • Published : 2014.02.01
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Abstract

Intramural esophageal dissection (IED) is an uncommon disorder characterized by separation of the mucosal and submucosal layers of the esophagus. Iatrogenic intervention is the most common cause of IED, but spontaneous dissection is rare. We report an unusually complicated case of spontaneous IED that involved the full-length of the esophagus that necessitated surgical intervention due to infection of the false lumen. In this case, chest computed tomography successfully established the diagnosis and aided in pre-operative evaluation with the use of various image post-processing techniques.

Keywords

Acknowledgement

Supported by : Soonchunhyang University

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