Dissecting intramural hematoma of esophagus after thrombolytic therapy: A case report

Abstract

Esophageal hematoma is a relatively rare event. We report a case of severe chest pain associated with myocardial infarction and recurrent chest pain after administration of a thrombolytic agent. The chest pain was different from the presenting symptom and accompanied by 2 episodes of hematemesis. Esophageal hematoma was confirmed after endoscopy and computed tomography. Esophageal hematoma is a relatively rare event after thrombolytic therapy.

Unusual clotted haemothorax caused by spontaneous intramural haematoma of the oesophagus: a case report

“…Although the causes of SIHO may include advanced age, the presence of coagulation disorders, and the use of anticoagulant, antiplatelet, or thrombolytic drugs, the actual etiology of SIHO remains unclear (1). SIHO due to aspirin ingestion has been reported by Smith in 1974 (5).…”

“…Spontaneous intramural haematoma of the oesophagus (SIHO) is an uncommon form of oesophageal injury related to dissection of the mucosa from the muscular layers, which may be an intermediate variant of Mallory-Weiss syndrome (mucosal tear at the lower end of the esophagus) and Boerhaave's syndrome (spontaneous perforation of the oesophagus) (1,2). Although SIHO usually has a benign course, the mortality rate is 7-9% in patients with multiple comorbidities (3,4).…”

Secondary Spontaneous Intramural Esophageal Hematoma (Ieh) for Clopidogrel Treatment: A Case Report

“…Düzce Üniversitesi Tıp Fakültesi, 1 İç Hastalıkları Anabilim Dalı, 2 Genel Cerrahi Anabilim Dalı, Düzce…”

“…Düzce Üniversitesi Tıp Fakültesi, 1 İç Hastalıkları Anabilim Dalı, 2 Genel Cerrahi Anabilim Dalı, Düzce Hematomlar anatomik olarak kalp ve trakea tarafından en az desteklenen, mukozanın altta yatan muskularis propriaya zayıf bağlandığı distal özofagusta görülmektedir (6). Tanıda baryumlu özofagus grafisi, bilgisayarlı tomografi, manyetik rezonans görüntüleme (MRG) ve endoskopi kullanılabilmektedir.…”

“…Spontan intramural özofagus hematomu (IEH), yemek borusunun mukozasının kas tabakalarından ayrılması sonucu ortaya çıkan, nadir görülen bir özofagus hasarı şeklidir (1). Şiddetli kusma sonrası, travmaya sekonder, endoskopik işlemlerden sonra veya iatrojenik olarak gelişebilir.…”