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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

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

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Wuping Wang, Yunfeng Ni, Changkang Ke, Qingshu Cheng, Qiang Lu, Xiaofei Li
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-208) contains supplementary material, which is available to authorized users.
Wuping Wang, Yunfeng Ni contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

WW developed the study concept and design. YN acquired, analyzed and interpreted the data. CK critically revised the manuscript for important intellectual content. QC provided technical and material support. QL and XL drafted the manuscript. All authors read and approved the final manuscript.

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.
Zusatzmaterial
Authors’ original file for figure 1
12957_2012_1098_MOESM1_ESM.jpeg
Authors’ original file for figure 2
12957_2012_1098_MOESM2_ESM.jpeg
Literatur
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