Spontaneous circumferential esophageal dissection in a young man with eosinophilic esophagitis.


Spontaneous esophageal dissection is a rare condition that may happen in patients with eosinophilic esophagitis. Conservative management is an important therapeutic option to be considered. We describe an unusual case of a young man with eosinophilic esophagitis who presented complaining of acute retrosternal pain, fever and vomiting. After a thorough evaluation including CT-scan and esophagogram, circumferential esophageal dissection and mediastinal abscess without visible perforation was observed. Abscess resolution and oral nutrition reintroduction was achieved with non-surgical management. Corticoid therapy was initiated for esophagitis treatment.

DOI: 10.1510/icvts.2009.208975

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@article{Quiroga2009SpontaneousCE, title={Spontaneous circumferential esophageal dissection in a young man with eosinophilic esophagitis.}, author={Jorge Quiroga and Jos{\'e} Mar{\'i}a G Prim and Milagros Moldes and Ramiro Ledo}, journal={Interactive cardiovascular and thoracic surgery}, year={2009}, volume={9 6}, pages={1040-2} }