Blue esophagus as a diagnosis of aortic dissection

Rev Esp Enferm Dig. 2024 Apr 9. doi: 10.17235/reed.2024.10319/2024. Online ahead of print.ABSTRACTA 76-year-old patient, admitted to the department of cardiac surgery, anticoagulated, started with acute dysphagia. An upper endoscopy revealed a blue mucosa from the upper to distal esophagus, with narrowing of the lumen caused by an extrinsic compression. A computed to¬mography (CT) of the thorax was performed, showing a 85x55 mm mediastinal hematoma causing extrinsic compression of the esophagus. Subsequently, a contrast-enhanced CT scan was performed, confirming a contained rupture of descending thoracic aortic dissection as the cause of the hematoma.PMID:38591592 | DOI:10.17235/reed.2024.10319/2024
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Authors: Source Type: research