Document Detail


Intramural oesophageal dissection.
MedLine Citation:
PMID:  20575886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intramural oesophageal dissection is an uncommon but important clinical condition. It often occurs in patients who are anticoagulated, and the clinical presentation may include chest pain, dysphagia and haematemesis. The aim of this review was to determine an appropriate treatment algorithm for patients with suspected intramural oesophageal dissection. We conducted a literature review using PubMed and MedLine up until December 2008. We also reported on our own case series of three patients with intramural oesophageal dissection presenting at two Adelaide hospitals over the past 5 years. Recognition of the risk factors and clinical symptoms associated with this condition is imperative to avoid unnecessary and potentially harmful investigations and therapy. Intramural oesophageal dissection usually follows a benign course requiring conservative therapy only.
Authors:
Jesse D Beumer; Peter G Devitt; Sarah K Thompson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  80     ISSN:  1445-2197     ISO Abbreviation:  ANZ J Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-06-25     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  91-5     Citation Subset:  IM    
Affiliation:
University of Adelaide Discipline of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Chest Pain / etiology
Deglutition Disorders / etiology
Esophageal Diseases* / complications,  diagnosis,  therapy
Esophageal Perforation / etiology
Female
Hematemesis / etiology
Hematoma* / diagnosis,  therapy
Humans
Pulmonary Edema / etiology
Rupture, Spontaneous
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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