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

World Journal of Clinical Cases 2022年第29期10卷 10695-10700页

作者： Yang Jiao Yin-He Sikong Ai-Jun Zhang Xiu-Li Zuo Pu-Yue Gao Qing-Guo Ren Ru-Yuan Li Department of General Surgery Shandong University of Qilu Hospital(Qingdao)Qingdao 266000Shandong ProvinceChina Department of Gastroenterology Shandong University of Qilu Hospital(Qingdao)Qingdao 266000Shandong ProvinceChina Department of Gastroenterology Qilu Hospital of Shandong UniversityJinan 250000Shandong ProvinceChina Department of Radiology Shandong University of Qilu HospitalShandong UniversityQingdao 266000Shandong ProvinceChina

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.

关键词： Submucosal esophageal abscess intramural esophageal dissection Endoscopic incision Case report

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