CTICasesIatrogenic esophageal intramural dissection
Imaging findings
CT esophagram shows air and contrast dissecting along the submucosal layer of the entire thoracic esophagus, surrounding the central true lumen, without a full-thickness tear or pleural contrast leak.
Key takeaways
Esophageal intramural dissection is a rare complication of endoscopic procedures. It represents a submucosal tear where air or contrast tracks along the wall. It is generally managed conservatively if there is no free perforation.
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