Open AccessTemporal Evolution of Intramural Esophageal Dissection with 3D Reconstruction and Cinematic Virtual Fly-Through
Author(s) -
Ying Mei Wong,
Andrew Makmur,
Li Ching Lau,
Eric Ting
Publication year - 2018
Publication title -
journal of radiology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.154
H-Index - 18
ISSN - 1943-0922
DOI - 10.3941/jrcr.v12i2.3288
Subject(s) - odynophagia , medicine , dysphagia , radiology , emergency department , dissection (medical) , medical diagnosis , aortic dissection , radiography , computed tomography , surgery , aorta , psychiatry
Intramural esophageal dissection is an uncommon condition, involving the separation of the esophageal mucosa from the muscular layers. To our knowledge, the temporal evolution of intramural esophageal dissection on computed tomography has not been previously demonstrated. We present a case of a 51-year-old male who first presented to the emergency department with fever, odynophagia, and dysphagia. He was treated for acute tonsillitis and discharged, but presented again after 10 days with worsening symptoms. A series of radiographs and computed tomography studies, with 3D reconstruction and cinematic virtual fly-through, in these 2 admissions depicts the temporal evolution of intramural hematoma to subsequent intramural esophageal dissection. Recognizing its appearance on imaging is invaluable in distinguishing it from other important differential diagnoses. A complete description of the case, relevant radiologic imaging, and review of the relevant literature are provided.