Intramural Esophageal Dissection: The Double-Barreled Esophagus Sign

Double-barreled esophagus is a rare intramural dissection often triggered by instrumentation or trauma. This Eurorad teaching case illustrates the fluoroscopic and CT findings: a true and false lumen separated by a mucosal flap. Recognizing this benign, self-limited condition he…

• Eurorad teaching case demonstrating the classic 'double-barrel' appearance on esophagram and CT.
• Intramural esophageal dissection is typically benign, self-limited, and managed conservatively; important to differentiate from perforation.
• Single case, educational value for board preparation and call.

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