Intramural haematoma of the oesophagus – a case report and literature review
Authors:
M. Šnajdauf; A. Pazdro; T. Haruštiak; H. Mrázková; R. Lischke
Authors‘ workplace:
III. chirurgická klinika 1. Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Motol, přednosta: prof. MUDr. R. Lischke Ph. D.
Published in:
Rozhl. Chir., 2015, roč. 94, č. 1, s. 30-33.
Category:
Case Report
Overview
Intramural hematoma of the oesophagus is a rare diagnosis presenting with retrosternal pain, dysphagia and haematemesis. It is caused by barotrauma or direct injury to the esophagus, or it may occur spontaneously without apparent cause, which is more common in patients taking antiplatelet or anticoagulant medications. In most cases, treatment is conservative. Rarely, endoscopic, endovascular or surgical treatment is effective. This article presents a case report of a female patient with spontaneous haematoma of the oesophagus solved conservatively and discusses further possibilities of the course and treatment of the disease.
Key words:
intramural haematoma of the oesophagus − IHE
Sources
1. Marks IN, Keet AD. Intramural rupture of the oesophagus. Br Med J 1968;3:536−7.
2. Chu YY, Sung KF, Ng SC, et al. Achalasia combined with esophageal intramural hematoma: case report and literature review. World J Gastroenterol 2010;16:5391−4.
3. Jeong ES, Kim MJ, Yoo SH, et al. Intramural hematoma of the esophagus after endoscopic pinch biopsy. Clin Endosc 2012;45:417−20. doi: 10.5946/ce.2012.45.4.417. Epub 2012 Nov 30.
4. Ivekovic H1, Ivekovic MP. Intramural esophageal hematoma: an unusual complication of endotracheal intubation. J Emerg Med 2013;44:e89−90.
5. Kobayashi T, Seo S1 Morita S, et al. Esophageal intramucosal hematoma after peripheral blood stem cell transplantation: case report and review of literature. Int J Clin Exp Pathol 2014;7:2690−4.
6. Criblez D, Filippini L, Schoch O, et al. Intramural rupture and intramural hematoma of the esophagus: 3 case reports and literature review. Schweiz Med Wochenschr 1992;122:416−23.
7. Hagel J1, Bicknell SG, Haniak W. Imaging management of spontaneous giant esophageal intramural hematoma. Can Assoc Radiol J 2007;58:76−8.
8. Restrepo CS, Lemos DF, Ocazionez D. Intramural hematoma of the esophagus: a pictorial essay. Emerg Radiol 2008;15:13−22.
9. Lion-Cachet J. Gastric fundal mucosal tears. Br J Surg 1963;50:985.
10. Mackler SA. Spontaneous rupture of the esophagus; an experimental and clinical study. Surg Gynecol Obstet 1952;95:345−56.
11. Geller A1, Gostout CJ. Esophagogastric hematoma mimicking a malignant neoplasm: clinical manifestations, diagnosis, and treatment. Mayo Clin Proc 1998;73:342−5.
12. Nault I, Bertrand OF. Severe haemodynamic compromise due to left atrial compression by oesophageal haematoma. Heart 2007;93:1190.
13. Yapa RS, Green GJ., Spontaneous oesophageal haematoma presenting as acute myocardial infarction: implications for thrombolytic therapy. Postgrad Med J 1991;67:779−80.
14. Maher MM1, Murphy J, Dervan P, O‘Connell D. Aorto-oesophageal fistula presenting as a submucosal oesophageal haematoma. Br J Radiol 1998;71:972−4.
15. Restrepo CS, Lemos DF, Ocazionez D, et al. Intramural hematoma of the esophagus: a pictorial essay. Emerg Radiol 2008;15:13−22.
16. Shim J, Jang JY, Hwangbo Y, et al. Recurrent massive bleeding due to dissecting intramural hematoma of the esophagus: treatment with therapeutic angiography. World J Gastroenterol 2009;15:5232−5.
17. Thumerel M, Rodriguez A, Lebreton G, Jougon J. Is there a place for video-associated thoracoscopy for dissecting intramural haematoma of the oesophagus? Interact Cardiovasc Thorac Surg 2011;13:356−7.
18. Folan RD, Smith RE, Head JM. Esophageal hematoma and tear requiring emergency surgical intervention. A case report and literature review. Dig Dis Sci 1992;37:1918−21.
19. Lai WW1, Wu MH, Shin JS. Submucosal esophageal dissection − a rare case report. Hepatogastroenterology 1999;46:2419−21.
20. Jung KW1, Lee OJ. Extensive spontaneous submucosal dissection of the esophagus: long-term sequential endoscopic observation and treatment. Gastrointest Endosc 2002;55:262−5.
21. Cho CM, Ha SS, Tak WY, et al. Endoscopic incision of a septum in a case of spontaneous intramural dissection of the esophagus. J Clin Gastroenterol 2002;35:387−90.
22. Kim SH1, Lee SO. Circumferential intramural esophageal dissection successfully treated by endoscopic procedure and metal stent insertion. J Gastroenterol 2005;40:1065−9.
23. Khil EK, Lee H, Her K. Spontaneous intramural full-length dissection of esophagus treated with surgical intervention: multidetector CT diagnosis with multiplanar reformations and virtual endoscopic display. Korean J Radiol 2014;15:173−7.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2015 Issue 1
Most read in this issue
- Phyllodes breast tumors
- Strategies of treatment of chest wall tumors and our experience
- Intramural haematoma of the oesophagus – a case report and literature review
- The benefit of PET/CT in the diagnosis and treatment of esophageal cancer