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首页> 外文期刊>World journal of gastroenterology : >Circumferential mucosal dissection and esophageal perforation in a patient with eosinophilic esophagitis.
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Circumferential mucosal dissection and esophageal perforation in a patient with eosinophilic esophagitis.

机译：嗜酸性粒细胞性食管炎患者的周向粘膜剥离和食管穿孔。

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摘要

A young man with a previous history of episodes of mild solid food dysphagia was admitted with a total dysphagia. The esophagogastroduodenoscopy (EGDS) showed an extensive disruption of mucosal layer with a cul-de-sac in the lower part of the esophagus. Soon after the procedure, the patient suffered from an acute chest pain and subsequent CT scan demonstrated an intramural circumferential dissection of thoracic esophagus, and a mediastinal emphysema. An emergency right thoracotomy was performed, followed by a total esophagectomy with esophagogastroplasty and jejunostomy. The histopathology confirmed that mucosal and submucosal layers were circumferentially detached from muscular wall and showed an eosinophilic infiltration of the whole organ with necrosis and erosions of mucosal, submucosal and muscular layers. The diagnosis was esophageal perforation in eosinophilic esophagitis.
机译：一名有轻度固体食物吞咽困难史的年轻人被接纳为完全性吞咽困难。食管胃十二指肠镜检查（EGDS）显示食管下部粘膜层广泛被破坏。手术后不久，患者患有急性胸痛，随后的CT扫描显示胸腔食管壁内周向解剖和纵隔气肿。进行了紧急的右胸切开术，随后进行了全食管切除术，并进行了食管胃成形术和空肠造口术。组织病理学证实，粘膜和粘膜下层在周向上从肌壁分离，并显示出整个器官的嗜酸性浸润，坏死和粘膜，粘膜下和肌层的侵蚀。诊断为嗜酸性食管炎中的食管穿孔。

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