intramural oesophageal dissection

Esophageal

emergencies: another important cause of acute chest pain. Intramural dissection. Fifty-one-year-old male with chest pain radiating to the back after forceful vomiting.a Axial CT image shows an intramural dissection flap (arrow) between the true (arrowhead) and false lumen (white arrow) in the lower esophagus.b Barium esophagography shows two parallel lumens and an intervening dissecting flap filling defect (black arrow) giving the esophagus the double barrel appearance. True lumen (arrowhead). False lumen (white arrow)