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Case Reports
. 2018 Sep 26:5:e66.
doi: 10.14309/crj.2018.66. eCollection 2018.

Spontaneous Intramural Esophageal Rupture: An Uncommon Presentation of Eosinophilic Esophagitis Requiring Endoscopic Clipping

Tooba Tariq  1 , Asad Rizvi  2 , Karun Badwal  1 , Ransome Eke  3
Affiliations
Case Reports

Spontaneous Intramural Esophageal Rupture: An Uncommon Presentation of Eosinophilic Esophagitis Requiring Endoscopic Clipping

Tooba Tariq et al. ACG Case Rep J. .

Abstract

Spontaneous intramural esophageal rupture (SIER) is a form of acute esophageal trauma defined as an injury deeper than a Mallory-Weiss tear but not extending completely through the muscular propria as in Boerhaave syndrome. SIER is a rare complication of eosinophilic esophagitis (EoE); after extensive literature review, we found 7 case reports of SIER complicating EoE. We present a case of SIER complicating EoE in a 46-year-old man with an atypical presentation requiring endoscopic clipping to achieve successful hemostasis.

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Figures

Figure 1
Figure 1
Esophagogastroduodenoscopy (EGD) showing a 15-cm non-circumferential, deep submucosal tear from mid- to distal esophagus with 3 spots of active arterial bleeding.
Figure 2
Figure 2
Endoscopic clips were placed to control bleeding.
Figure 3
Figure 3
Repeat EGD 8 weeks later showing an almost completely epithelialized laceration with esophageal linear furrowing.
See this image and copyright information in PMC

References

    1. Jackson WE, Mehendiratta V, Palazzo J, Dimarino AJ, Quirk DM, Cohen S. Boerhaave’s syndrome as an initial presentation of eosinophilic esophagitis: A case series. Ann Gastroenterol. 2013;26(2):166–9. - PMC - PubMed
    1. Quiroga J, Prim JMG, Moldes M, Ledo R. Spontaneous circumferential esophageal dissection in a young man with eosinophilic esophagitis. Interact Cardiovasc Thorac Surg. 2009;9(6):1040–2. - PubMed
    1. Predina JD, Anolik RB, Judy B, Akers S, Freiman D, Ahmad N, Singhal S. Intramural esophageal dissection in a young man with eosinophilic esophagitis. Ann Thorac Cardiovasc Surg. 2012;18(1):31–5. - PubMed
    1. Ortiz Moyano C, Gómez Rodríguez BJ, Pellicer Bautista F, Herrerías Gutiérrez JM. Intramural rupture of the esophagus: Clinical presentation and outcome. Rev Esp Enferm Dig. 2006;98(4):303–5. - PubMed
    1. Gluck M, Jiranek GC, Low DE, Kozarek RA. Spontaneous intramural rupture of the esophagus: Clinical presentation and endoscopic findings. Gastrointest Endosc. 2002;56(1):134–6. - PubMed

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