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Esophageal Intramural Abscess from Injury in an Adult | OMICS International
ISSN: 2165-8048
Internal Medicine: Open Access
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Esophageal Intramural Abscess from Injury in an Adult

Sun Y1, Zhao Y2, Lu X2 and Cao D2*

1Pharmaceutical Department, China-Japan Union Hospital, Jilin University, Changchun 130033, China

2Department of Radiology, The First Hospital of Jilin University, Chang Chun 130021, China

*Corresponding Author:
Cao D
Department of Radiology. The First Hospital of Jilin University
XinMinZhu Street 71, Changchun, China
Tel: 15804300125
E-mail: [email protected]

Received date: September 05, 2016; Accepted date: September 22, 2016; Published date: September 30, 2016

Citation: Sun Y, Zhao Y, Lu X, Cao D (2016) Esophageal Intramural Abscess from Injury in an Adult. Intern Med 6:i111. doi:10.4172/2165-8048.1000i111

Copyright: © 2016 Sun Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

A 33-year-old man with diabetes was referred to our hospital with the complaints of retrosternal pain, pharyngeal pain and high fever up to 39°C. He had history of fish bone ingestion 2 weeks previously. Examination of the heart and lungs was normal, and there were no apparent enlarged lymph nodes. The tumor markers were all within neutrophils. Subsequent chest contrast-enhanced CT showed diffuse thickening of esophageal wall in the middle and lower part, associated with inner low density similar to fluid. There were large quantities of gas retention in the lumen of esophagus, which suggested disorder of esophageal peristalsis in this region. Minimal effusion was also noticed in both pleural cavit. In combination with different data from this patient, esophageal abscess was first proposed. The patient accepted conservative treatment including nothing by mouth, broadspectrum antibiotics and intravenous fluid support for ten days. The patient’s symptoms improved significantly and his temperature recovered to be normal level. Follow-up CT revealed the disappearance of low attenuation within thickening esophageal wall and endoluminal air.

Clinical Image

A 33-year-old man with diabetes was referred to our hospital with the complaints of retrosternal pain, pharyngeal pain and high fever up to 39°C. He had history of fish bone ingestion 2 weeks previously. Examination of the heart and lungs was normal, and there were no pparent enlarged lymph nodes. The tumor markers were all within normal range. His white blood cells were 11.63 × 109/L with elevated neutrophils. Subsequent chest contrast-enhanced CT showed diffuse thickening of esophageal wall in the middle and lower part, associated with inner low density similar to fluid. There were large quantities of gas retention in the lumen of esophagus, which suggested disorder of esophageal peristalsis in this region. Minimal effusion was also noticed in both pleural cavit (Figure 1a-1c). In combination with different data from this patient, esophageal abscess was first proposed. The patient accepted conservative treatment including nothing by mouth, broadspectrum antibiotics and intravenous fluid support for ten days. The patient’s symptoms improved significantly and his temperature recovered to be normal level. Follow-up CT revealed the disappearance of low attenuation within thickening esophageal wall and endoluminal air (Figure 2a and 2b).

internal-medicine-Minimal-effusion-noticed

Figure 1: a), b) and c) Minimal effusion noticed in both pleural cavit.

internal-medicine-thickening-esophageal-wall

Figure 2: a) and b) CT showing the disappearance of low attenuation within thickening esophageal wall and endoluminal air.

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