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Updated: Jun 29, 2025

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Blue esophagus as a diagnosis of aortic dissection
María Reyes Busta Nistal1, Lourdes Del Olmo Martínez1, Luis Fernández Salazar1
1Aparato Digestivo, Hospital Clínico Universitario de Valladolid, españa.
Abstract:
A 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.
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