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Inicio Cirugía Española (English Edition) Spontaneous esophageal pneumatosis. Uncertain diagnosis
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Vol. 101. Núm. 6.
Páginas 450 (junio 2023)
Vol. 101. Núm. 6.
Páginas 450 (junio 2023)
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Spontaneous esophageal pneumatosis. Uncertain diagnosis
Neumatosis esofágica espontánea de diagnóstico incierto
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Daniel Humaran Cozar, Marta Viciano Martín
Autor para correspondencia
mviciano13@gmail.com

Corresponding author.
, Arantxa Clavell Font, Elisenda Garsot Savall
Cirugía General y Digestiva, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
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A 49-year-old man from Bolivia consulting for oropharyngeal discomfort with progressive dysphagia, rhinolalia, burning chest pain, and fever of 39 °C. Chest CT scan (Fig. 1) showed severe oesophageal thickening with transmural air bubbles without free air in the mediastinum. Fibrogastroscopy revealed oesophageal oedema along its length to the cardia with no mucosal lesions. Rhinolaryngoscopy described arytenoiditis. Admitted to ICU with broad-spectrum antibiotic and antifungal treatment. Serology was negative. Ten days after admission, radiological improvement (Fig. 2) and clinical stability allowed progressive oral diet to be started without incident. The patient was discharged without a definitive diagnosis.

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Figure 2
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Please cite this article as: Humaran Cozar D, Viciano Martín M, Clavell Font A, Garsot Savall E. Neumatosis esofágica espontánea de diagnóstico incierto. Cir Esp. 2022. https://doi.org/10.1016/j.ciresp.2022.04.011

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