Korean J Gastrointest Endosc > Volume 26(3); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(3): 141-145.
식도의 자발성 점막하 박리: 증례 보고 및 국내 문헌 고찰
권대식·문재현·안진광·김보석·배용목·김광하·허 정·강대환·송근암·조 몽·양웅석
부산대학교 의과대학 내과학교실
A Case of Spontaneous Submucosal Dissection of the Esophagus
Dae Sik Kwon, M.D., Jae Hyeon Moon, M.D., Jin Kwang An, M.D., Bo Suk Kim, M.D., Yeong Mok Bae, M.D., Gwang Ha Kim, M.D., Jeong Heo, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D., Mong Cho, M.D. and Ung Suk Yang, M.D.
Department of Internal Medicine, Busan National University College of Medicine, Busan, Korea
Abstract
Spontaneous submucosal dissection of the esophagus is a rare esophageal disorder which reveals characteristic features on radiologic and endoscopic examinations. It usually presents with acute epigastric pain, typically accompanied by dysphagia and odynophagia. We experienced a case of a 56-year-old man complaining of chest discomfort and right upper quadrant abdominal discomfort. The findings of upper gastrointestinal endoscopy and barium esophagogram were compatible with submucosal dissection of the esophagus. Chest CT scan showed multiple ulcers that formed a longitudinal tunnel canal. The patient was managed conservatively with nothing by mouth and intravenous hydration. Forty days after the first upper gastrointestinal endoscopy, the patient's symptoms disappeared completely and the massive dissection of the esophagus was much improved except for slight depression on the upper esophagus. (Korean J Gastrointest Endosc 2003;26:141⁣145)
Key Words: Submucosal dissection of the esophagus
주요어: 자발성 점막하 식도 박리
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