case_images: PMC3716036_01
case_images: Barium swallow showing complete esophageal obstruction in the distal esophagus.
case_images: JCHIMP-3-20043-g001.jpg
case_images: PMC3716036_01_JCHIMP-3-20043-g001.jpg
case_images: F0001
case_images: A barium swallow was administered which showed a complete obstruction of the distal esophagus (Fig. 1).
case_images: EGD showing complete obstruction with entrapped band and surrounding necrosis.
case_images: JCHIMP-3-20043-g002.jpg
case_images: PMC3716036_01_JCHIMP-3-20043-g002.jpg
case_images: F0002
case_images: An EGD was performed; the scope was advanced to 34 cm to the level of obstruction and it was noted to have a band with entrapped varix in the center of the lumen surrounded by fibrotic material closing off the rest of the lumen (Fig. 2).
case_images: Repeat barium swallow showing esophageal intramural dissection and a parallel channel formation with no evidence of perforation.
case_images: JCHIMP-3-20043-g003.jpg
case_images: PMC3716036_01_JCHIMP-3-20043-g003.jpg
case_images: F0003
case_images: A repeat barium swallow showed patency of the esophagus with a parallel channel that retained contrast much later than the initial swallow, suggestive of an esophageal tear with an intramural dissection of 6 cm to the level of gastro-esophageal junction (Fig. 3).
case_images: Barium swallow prior to discharge showing interval healing of dissection and a stricture at the site proximal to prior dissection.
case_images: JCHIMP-3-20043-g004.jpg
case_images: PMC3716036_01_JCHIMP-3-20043-g004.jpg
case_images: F0004
case_images: A small stricture was noted at the proximal margin at the origin of the prior dissection (Fig. 4).