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Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation

Isolated Crohn’s disease of the esophagus is rare, and accurate diagnosis and treatment in its early course are difficult. Most cases are often found very late, when severe strictures or other complications have occurred. We report the case of a male 60-year-old patient with complaints of progressiv...

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Autores principales: Wang, Wuping, Ni, Yunfeng, Ke, Changkang, Cheng, Qingshu, Lu, Qiang, Li, Xiaofei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3499212/
https://www.ncbi.nlm.nih.gov/pubmed/23031794
http://dx.doi.org/10.1186/1477-7819-10-208
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author Wang, Wuping
Ni, Yunfeng
Ke, Changkang
Cheng, Qingshu
Lu, Qiang
Li, Xiaofei
author_facet Wang, Wuping
Ni, Yunfeng
Ke, Changkang
Cheng, Qingshu
Lu, Qiang
Li, Xiaofei
author_sort Wang, Wuping
collection PubMed
description Isolated Crohn’s disease of the esophagus is rare, and accurate diagnosis and treatment in its early course are difficult. Most cases are often found very late, when severe strictures or other complications have occurred. We report the case of a male 60-year-old patient with complaints of progressive dysphagia for more than two months and the sudden appearance of heartburn for seven consecutive days. Clinical examination revealed severe esophageal stricture with a suspected fistula and mediastinitis. The patient received a successful esophagectomy. The resected specimen and pathological results confirmed a deep linear ulcer, chronic and noncaseating granulomatous inflammation, as well as a circular stricture of the esophagus with fistula into the mediastinum due to isolated esophageal Crohn’s disease.
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spelling pubmed-34992122012-11-16 Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation Wang, Wuping Ni, Yunfeng Ke, Changkang Cheng, Qingshu Lu, Qiang Li, Xiaofei World J Surg Oncol Case Report Isolated Crohn’s disease of the esophagus is rare, and accurate diagnosis and treatment in its early course are difficult. Most cases are often found very late, when severe strictures or other complications have occurred. We report the case of a male 60-year-old patient with complaints of progressive dysphagia for more than two months and the sudden appearance of heartburn for seven consecutive days. Clinical examination revealed severe esophageal stricture with a suspected fistula and mediastinitis. The patient received a successful esophagectomy. The resected specimen and pathological results confirmed a deep linear ulcer, chronic and noncaseating granulomatous inflammation, as well as a circular stricture of the esophagus with fistula into the mediastinum due to isolated esophageal Crohn’s disease. BioMed Central 2012-10-03 /pmc/articles/PMC3499212/ /pubmed/23031794 http://dx.doi.org/10.1186/1477-7819-10-208 Text en Copyright ©2012 Wang et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wang, Wuping
Ni, Yunfeng
Ke, Changkang
Cheng, Qingshu
Lu, Qiang
Li, Xiaofei
Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation
title Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation
title_full Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation
title_fullStr Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation
title_full_unstemmed Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation
title_short Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation
title_sort isolated crohn’s disease of the esophagus with esophago-mediastinal fistula formation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3499212/
https://www.ncbi.nlm.nih.gov/pubmed/23031794
http://dx.doi.org/10.1186/1477-7819-10-208
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