A case of intramural esophageal dissection in a patient with esophageal web

A 50-year-female with denied pain during swallowing, retrosternal pain, drooling of saliva, nasal regurgitation, cough, breathlessness, hoarseness of voice, abdominal pain, vomiting, loss of weight or loss of appetite. Upper GI endoscopy revealed a web at 17cms from incisors. Complete blood picture suggestive of neutrophilic leukocytosis. Other parameters shows normal. Thin barium study showed pseudo lumen in esophagus and confirmed the diagnosis of esophageal web with esophageal dissection. Patient was treated conservatively with nil per oral and parenteral fluids and antibiotics. Web was dilated after 2 weeks with SG dilator and procedure was uneventful and oral feeding was initiated..