Title |
Isolated Crohn’s disease of the esophagus with esophago-mediastinal fistula formation
|
---|---|
Published in |
World Journal of Surgical Oncology, October 2012
|
DOI | 10.1186/1477-7819-10-208 |
Pubmed ID | |
Authors |
Wuping Wang, Yunfeng Ni, Changkang Ke, Qingshu Cheng, Qiang Lu, Xiaofei Li |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 25% |
Switzerland | 1 | 25% |
Unknown | 2 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 75% |
Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 33 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 7 | 21% |
Student > Doctoral Student | 4 | 12% |
Researcher | 4 | 12% |
Professor | 3 | 9% |
Student > Master | 3 | 9% |
Other | 6 | 18% |
Unknown | 6 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 22 | 67% |
Nursing and Health Professions | 1 | 3% |
Arts and Humanities | 1 | 3% |
Economics, Econometrics and Finance | 1 | 3% |
Agricultural and Biological Sciences | 1 | 3% |
Other | 0 | 0% |
Unknown | 7 | 21% |