Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2021; 9(36): 11467-11474
Published online Dec 26, 2021. doi: 10.12998/wjcc.v9.i36.11467
Rare spontaneous extensive annular intramural esophageal dissection with endoscopic treatment: A case report
Jian-Wen Hu, Qian Zhao, Chi-Yv Hu, Jie Wu, Xiang-Yin Lv, Xiang-Hong Jin
Jian-Wen Hu, Qian Zhao, Chi-Yv Hu, Jie Wu, Xiang-Yin Lv, Xiang-Hong Jin, Department of Gastroenterology, Dongyang People's Hospital, Dongyang 322100, Zhejiang Province, China
Author contributions: Hu JW and Jin XH were the patient’s gastroenterologists; Hu JW, Jin XH, and Zhao Q reviewed the literature and contributed to manuscript drafting; Hu CY and Wu J analyzed and interpreted the imaging findings; Lv XY was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-Wen Hu, PhD, Professor, Department of Gastroenterology, Dongyang People's Hospital, No. 60 Wuning West Road, Dongyang 322100, Zhejiang Province, China. 18367908196@163.com
Received: July 31, 2021
Peer-review started: July 31, 2021
First decision: September 4, 2021
Revised: September 17, 2021
Accepted: November 14, 2021
Article in press: November 14, 2021
Published online: December 26, 2021
Processing time: 145 Days and 2.5 Hours
Core Tip

Core Tip: Intramural esophageal dissection (IED) is a rare entity characterized by mucosal rupture resulting in a false cavity. Herein, we presented a rare case of spontaneous annular IED that was treated successfully by endoscopic resection of the mucosal septum between the true and false lumina without complications, resulting in complete symptomatic relief. Physicians should consider IED, especially in elderly patients, after excluding other thoracic emergencies. This study indicates that endoscopic treatment may be effective in treating annular IED, without complications and aid clinicians in selecting the most suitable treatment, depending on the patient’s condition and type of lesion.