Weekly Chest CasesCases by Disease Category

Case No : 1213 Date 2021-01-19

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  • Courtesy of Jin, Kwang Nam / SMG-SNU Boramae Medical Center
  • Age/Sex 74 / M
  • Chief ComplaintChief complaint> Neck pain and vomiting, 10 DA, Underlying disease> None
  • Figure 1
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  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Intramural esophageal dissection
Radiologic Findings
Chest radiograph shows air-filled upper esophageal luminal opacity.
CT demonstrates diffuse esophageal wall thickening, luminal dilatation, debris in the lumen, and double-barreled appearance with multiple entry points.
Brief Review
Please refer to
Case 233, Case 935,
References
1) CT Features of Esophageal Emergencies RadioGraphics 2008;28; 6
2) Imaging of esophageal emergencies Applied Radiology 2016
3) Double lumen esophagus: A rare complication of gastroesophageal reflux disease Digestive Endoscopy 2014; 26: 282
Keywords
Esophagus, Intramural esophageal dissection,

No. of Applicants : 96

▶ Correct Answer : 33/96,  34.4%
  • - ZIGONG TCM HOSPITAL OF CHINA , China CAO CUN YOU
  • - Showa University Fujigaoka Hospital , Japan KYOKO NAGAI
  • - TWMU Medical Center East , Japan MASAFUMI KAIUME
  • - Other , Korea (South) HYEJIN YANG
  • - McGill University Health Center , Canada ALEXANDRE SEMIONOV
  • - Tiger Gate Hospital , Japan SHIN-ICHI CHO
  • - Ichinomiya Nishi Hospital , Japan CHIHIRO KIGUCHI
  • - Chonnam National University Hospital , Korea (South) MOON GYEONG IL
  • - Asan Medical Center , Korea (South) EUNJI CHOI
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - Other , Korea (South) SEONGSU KANG
  • - university of montreal , Canada Andrei Bogdan Gorgos I
  • - Hamamatsu University Hospital , Japan HAYATO NOZAWA
  • - National Center for Global Health and Medicine , Japan MASATOSHI HOTTA
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - , Korea (South) PARK JONGMIN
  • - Gifu University Hospital , Japan Yo Kaneko
  • - , Japan KANAE TAKAHASHI
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - Eskisehir Sehir Hastanesi , Turkey MURAT SAHIN
  • - Kyeongpook National University Hospital , Korea (South) PARK BYUNG GEON
  • - Other , Korea (South) KYU-CHONG LEE
  • - Tashkent Medical Academy , Uzbekistan Rustam Azimovich Fayzullaev
  • - Kitano Hospital , Japan SATOSHI IKEDA
  • - Fortis hospital , Mohali , India SHALEEN RANA
  • - University of Tsukuba Hospital , Japan SODAI HOSHIAI
  • - Toranomon Hospital , Japan KAORU SUMIDA
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - , Japan TOMOKI IMOKAWA
  • - Tokyo Metropolitan Bokutoh Hospital , Japan TOMOKI WADA
  • - Hamamatsu University Hospital , Japan YUKI HAYASHI
  • - Kyoto university , Japan AKIHIKO SAKATA
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
▶ Correct Answer as Differential Diagnosis : 11/96,  11.5%
  • - Korea University Guro Hospital , Korea (South) LEE SEOKYOUNG
  • - Mayo Clinic , United States AKITOSHI INOUE
  • - Chonbuk National University Hospital , Korea (South) MINGI SHIN
  • - IRSA LA ROCHELLE , France JEAN LUC BIGOT
  • - Seoul National University Bundang Hospital , Korea (South) SUNG HYUN YOON
  • - Mallinckrodt Institute of Radiology , United States NAGANATHAN MANI
  • - Other , Korea (South) MINSU KIM
  • - Chonbuk National University Hospital , Korea (South) KUM JU CHAE
  • - Pusan National University Yangsan Hospital , Korea (South) JI HWAN KIM
  • - , Japan KAZUMA TERAUCHI
  • - Jiangsu province hospital , China WANGJIAN ZHA
▶ Semi-Correct Answer : 3/96,  3.1%
  • - Ishikawa Matto Central Hospital , Japan MANABU AKIMOTO
  • - HHS , Canada S LEE
  • - Osaka City General Hospital , Japan SHU MATSUSHITA
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