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A Case of Esophageal Submucosal Dissection that Developed after Endoscopic Biopsy  

Kim, Dong-Hyun (Department of Internal Medicine, Good Samsun Hospital)
Yoon, Jeong-Bin (Department of Internal Medicine, Good Samsun Hospital)
Kim, Dong-Wan (Department of Internal Medicine, Good Samsun Hospital)
Jang, Se-Won (Department of Internal Medicine, Good Samsun Hospital)
Yoon, Jong-Min (Department of Internal Medicine, Good Samsun Hospital)
Kim, Min-Jung (Department of Internal Medicine, Good Samsun Hospital)
Kim, Sang-Hyun (Department of Internal Medicine, Good Samsun Hospital)
Publication Information
The Korean Journal of Medicine / v.81, no.6, 2011 , pp. 759-763 More about this Journal
Abstract
The incidence of gastrointestinal complications has increased as endoscopic biopsy has become a standard diagnostic technique. However, esophageal dissection is a rare complication. A 71-year-old man suffered retrosternal pain for 15 days. Fifteen days previously, he had undergone an endoscopic gastrointestinal examination at a local clinic and an esophageal biopsy to obtain microscopic confirmation of esophageal candidiasis. The patient then underwent a subsequent endoscopic examination, which showed features specific to esophageal submucosal dissection. The predisposing conditions for esophageal dissection are coagulopathy, iatrogenic trauma (variceal sclerotherapy), drugs (thrombolytic agents, aspirin), foreign bodies/certain foods (fish, chicken bones), and emesis. However, endoscopic biopsy is a rare predisposing condition. Here, we report a case of esophageal submucosal dissection that developed after esophageal biopsy. We observed the healing process of this lesion with a series of endoscopies as part of a conservative treatment plan.
Keywords
Esophageal disease; Dissection; Endoscopy; Biopsy;
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