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J Korean Soc Emerg Med > Volume 26(5); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(5): 483-486.
Primary Repair of Spontaneous Intramural Esophageal Dissection: A Case Report
Han Byeol Kim1, Kyung Hye Park1, Junho Cho1, Ha Young Park1, Kyung Hoon Sun1, Song Yi Park1, In Ho Kwon2
1Department of Emergency Medicine, Inje University Haeundae Paik Hospital, Busan, Korea
2Department of Emergency Medicine, Dong- A University Hospital, Busan, Korea
Correspondence  Kyung Hye Park ,Tel: 051) 797-0172, Fax: 051) 797-0034, Email: erdoc74@gmail.com,
Received: June 30, 2015; Revised: July 2, 2015   Accepted: July 19, 2015.  Published online: October 30, 2015.
Intramural esophageal dissection (IED) is a laceration between the mucosal and submucosal layers without perforation. Spontaneous IED is relatively common in elderly female patients on anticoagulation medication, while secondary IED is associated with endoscopic procedures or foreign body impaction. Although conservative management is regarded as the primary treatment for IED, there are several reported cases treated by endoscopic intervention or esophagectomy. We experienced rare spontaneous IED in a young male patient who was treated exclusively with primary repair of the esophagus. To the best of our knowledge, this is the first case report in which the patient recovered completely with only primary repair.
Key words: sophagus, Dissection, Endoscopy, Esophagectomy
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