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<p>Non-iatrogenic intramural esophageal dissection is a rare condition caused by the transverse and longitudinal separation of the mucosal and submucosal layers of the esophageal wall, with or without perforation, which leads to the separation of the submucosal and muscular layers and forms a false submucosal lumen. It can occur spontaneously or be related to iatrogenic causes or trauma, with the latter often associated with the ingestion of certain foods or medical pills. We present three cases of non-iatrogenic intramural esophageal dissection and review relevant literature. We discuss the causes, symptoms, prognosis, and, primarily, the radiologist’s role in promptly diagnosing this condition, especially in the Emergency Department (ER).</p> Graphical abstract <p></p>

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Imaging of non-iatrogenic intramural esophageal dissection in the Emergency Department: Case report and literature review

  • 期刊论文

  • 发表日期：

    2026年6月29日

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  • Ignacio Maldonado Schoijet,
  • Oscar Campos Ramírez,
  • Francisca Aliaga Plaza,
  • Carmen Ginesta Frings,
  • Sofía Maldonado Alcalde,
  • Giancarlo Schiappacasse Faundes

摘要

Non-iatrogenic intramural esophageal dissection is a rare condition caused by the transverse and longitudinal separation of the mucosal and submucosal layers of the esophageal wall, with or without perforation, which leads to the separation of the submucosal and muscular layers and forms a false submucosal lumen. It can occur spontaneously or be related to iatrogenic causes or trauma, with the latter often associated with the ingestion of certain foods or medical pills. We present three cases of non-iatrogenic intramural esophageal dissection and review relevant literature. We discuss the causes, symptoms, prognosis, and, primarily, the radiologist’s role in promptly diagnosing this condition, especially in the Emergency Department (ER).

Graphical abstract