A case of intramural esophageal dissection is reported and the literat
ure reviewed. Patients with intramural esophageal dissection are usual
ly women in their seventh or eighth decade. The most common presenting
symptoms are chest pain, dysphagia, and hematemesis. The diagnosis is
made by contrast esophagography, esophagoscopy, or both. Nonoperative
therapy has proved to be uniformly successful. (C) 1997 by The Societ
y of Thoracic Surgeons.