Submucosal esophageal abscess evolving into intramural submucosal dissection:A case report

作     者：Yang Jiao Yin-He Sikong Ai-Jun Zhang Xiu-Li Zuo Pu-Yue Gao Qing-Guo Ren Ru-Yuan Li 

作者机构：Department of General SurgeryShandong University of Qilu Hospital(Qingdao)Qingdao 266000Shandong ProvinceChina Department of GastroenterologyShandong University of Qilu Hospital(Qingdao)Qingdao 266000Shandong ProvinceChina Department of GastroenterologyQilu Hospital of Shandong UniversityJinan 250000Shandong ProvinceChina Department of RadiologyShandong University of Qilu HospitalShandong UniversityQingdao 266000Shandong ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第29期

页      面：10695-10700页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Submucosal esophageal abscess Intramural esophageal dissection Endoscopic incision Case report 

摘      要：BACKGROUND Here we report a rare case of submucosal esophageal abscess evolving into intramural submucosal *** SUMMARY An 80-year-old woman was admitted to our emergency department with a chief complaint of dysphagia and *** tests showed mild leukocytosis and elevated C-reactive protein *** tomography showed thickening of the esophageal *** endoscopy showed a laceration of the esophageal mucosa and a submucosal *** drainage occurred,and we could see purulent exudate from the *** closed the laceration with endoscopic *** patient did not remember swallowing a foreign body;however,she ate crabs before the symptoms *** prescribed the patient with antibiotic,and the symptoms were gradually *** months later,upper endoscopy showed that the laceration was healed,and the submucosal abscess ***,intramural esophageal dissection was *** performed endoscopic incision of the septum using dual-knife *** In conclusion,we are the first to report the case of esophageal submucosal abscess evolving into intramural esophageal *** significance of this case lies in clear presentation of the evolution process between two *** addition,we recommend that endoscopic incision be considered as one of the routine therapeutic modalities of intramural esophageal dissection.