A Case of Spontaneous Esophageal Submucosal Dissection

Abstract

A 41-year-old male was admitted complaining of sudden cervico-thoracic pain and dysphagia. Esophagram and thoracic CT scan with barium meal showed barium retension round esophageal cavity, and the diagnosis of esophageal submucosal dissection was completed by emergent endoscopic examination. Conservative therapy including hyper-alimentation was indicated, but it took 2 months for complete remission.
Esophageal submucosal dissection should be distinguished from exfoliative esophagitis, because the former usually need long-term treatment session.