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DOI: 10.1055/s-2001-13684
© Georg Thieme Verlag Stuttgart · New York
Idiopathic Submucosal Hematoma of Esophagus Complicated by Dissecting Aneurysm, Followed-Up Endoscopically During Conservative Treatment
Publikationsverlauf
Publikationsdatum:
31. Dezember 2001 (online)
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Submucosal hematoma of the esophagus is encountered as a rare complication of endoscopic treatment for esophageal varices, but is seen more often with the increasing frequency of endoscopic applications. Idiopathic submucosal hematoma is a rarer event and in most cases sudden intense vomiting has been postulated as its cause. We report here the case of such a patient whose condition was complicated by a dissecting aneurysm. During conservative treatment, careful follow-up was required to differentiate the submucosal hematoma from an aorto-esophageal fistula.
References
- 1 Salomez D, Ponette E, van-Steenbergen W. Intramural hematoma of the esophagus after variceal sclerotherapy. Endoscopy. 1991; 23 299-301
- 2 Korula J. Pseudotumor of the esophagus: an unusual complication of esophageal variceal sclerotherapy. Am J Gastroenterol. 1985; 80 954-956
- 3 Shimada T, Kimura K, Higashi K, et al. Spontaneous submucosal dissection of the esophagus. Intern Med. 1993; 32 795-797
- 4 Ashman F C, Hill M C, Saba G P, et al. Esophageal hematoma associated with thrombocytopenia. Gastrointest Radiol. 1978; 3 115-118
- 5 Shay S S, Berendson R A, Johnson L F. Esophageal hematoma. Four new cases, a review, and proposed etiology. Dig Dis Sci. 1981; 26 1019-1024
- 6 Smith G, Brunnen P L, Gillanders L A, Teo H S. Esophageal apoplexy. Lancet. 1974; 1 390-392
- 7 Rivero M A, Drachenberg C B, Green D, et al. Fusiform dilatations of the esophagus secondary to protracted distention and emetogenic injury. Arch Pathol Lab Med. 1993; 117 848-850
- 8 van Laethem J L, Devière J, Cremer M. Serial endoscopic findings of spontaneous intramural hematoma of the esophagus. Endoscopy. 1997; 29 44-46
- 9 Sanaka M, Kuyama Y, Hirama S, et al. Spontaneous intramural hematoma localized in the proximal esophagus: truly “spontaneous”?. J Clin Gastroenterol. 1998; 27 265-266
- 10 Yamada T, Sato H, Seki M, et al. Successful salvage of aorto-esophageal fistula caused by a fish bone. Ann Thorac Surg. 1996; 61 1843-1845
- 11 Wu M, Lai W. Aorto-esophageal fistula induced by foreign bodies. Ann Thorac Surg. 1992; 54 155-156
- 12 Khawaja FI,Varindani M K. Aorto-esophageal fistula. Review of clinical, radiographic, and endoscopic features. J Clin Gastroenterol. 1987; 9 342-344
- 13 Mion F, Bernard G, Valette P J, et al. Spontaneous esophageal hematoma: diagnostic contribution of echoendoscopy. Gastrointest Endoscopy. 1994; 40 503-505
- 14 Thompson N W, Ernst C B, Fry W J, et al. The spectrum of emetogenic injury to the esophagus and stomach. Am J Surg. 1967; 113 13-26
- 15 Demos T C, Okrent D H, Studio J D, et al. Spontaneous esophageal hematoma diagnosed by computed tomography. JCAT. 1986; 10 133-135
- 16 Heckstall R L, Hollander J E. Aorto-esophageal fistula: recognition and diagnosis in the emergency department. Ann Emerg Med. 1998; 32 502-505
- 17 Biagi G, Cappelli G, Propersi L, et al. Spontaneous intramural haematoma of the oesophagus. Thorax. 1983; 38 394-395
- 18 Kelly D L, Neugebauer M K, Fosburg R G. Spontaneous intramural esophageal perforation. J Thorac Cardiovasc Surg. 1972; 63 504-508
- 19 Freeman A H, Dickinson R J. Spontaneous intramural oesophageal hematoma. Clin Radiol. 1988; 39 628-634
Y. Kise, M.D.
Dept. of Surgery
Tokai University School of Medicine
Bohseidai,
Isehara 259-11
Japan
Fax: Fax:+ 81-463-956491
eMail: E-mail:kise@is.icc.u-tokai.ac.jp