Dissecting intramural hematoma of the esophagus after thrombolysis for myocardial infarction

Huddy, James; Kotecha, Ashish; Dussek, J E; McNair, Alistair

doi:10.1016/s0016-5107(04)02575-1

Cited by 12 publications

(13 citation statements)

References 11 publications

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“…An accurate diagnosis is important so that appropriate conservative measures can be instituted and unnecessary invasive investigations can be avoided. Of particular importance is the distinction between acute coronary syndromes and intramural oesophageal dissection, given that the antiplatelet or thrombolytic therapy usually indicated for acute coronary syndrome may directly worsen an oesophageal dissection 14,15 …”

Section: Discussionmentioning

confidence: 99%

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Intramural oesophageal dissection

Beumer

Devitt

Thompson

2010

ANZ Journal of Surgery

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Intramural oesophageal dissection is an uncommon but important clinical condition. It often occurs in patients who are anticoagulated, and the clinical presentation may include chest pain, dysphagia and haematemesis. The aim of this review was to determine an appropriate treatment algorithm for patients with suspected intramural oesophageal dissection. We conducted a literature review using PubMed and MedLine up until December 2008. We also reported on our own case series of three patients with intramural oesophageal dissection presenting at two Adelaide hospitals over the past 5 years. Recognition of the risk factors and clinical symptoms associated with this condition is imperative to avoid unnecessary and potentially harmful investigations and therapy. Intramural oesophageal dissection usually follows a benign course requiring conservative therapy only.

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Section: Discussionmentioning

confidence: 99%

“…Of particular importance is the distinction between acute coronary syndromes and intramural oesophageal dissection, given that the antiplatelet or thrombolytic therapy usually indicated for acute coronary syndrome may directly worsen an oesophageal dissection. 14,15…”

Section: Discussionmentioning

confidence: 99%

Intramural oesophageal dissection

Beumer

Devitt

Thompson

2010

ANZ Journal of Surgery

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“…La litté rature té moigne de la difficulté d'effectuer une distinction entre la douleur thoracique d'origine coronaire et celle d'origine oesophagienne, surtout chez des patients aux anté cé dents d'infarctus du myocarde [2,[4][5][6][7][8]. Tomodensitomé trie thoracique de contrô le avec aspect normal de l'oesophage aigu et rechercher une é ventuelle affection oesophagienne associé e. L'hé maté mè se est par ailleurs le plus souvent de faible volume voire absente, mais peut ê tre grandement aggravé e par un traitement anticoagulant [1,5,6,8]. La reconnaissance clinique pré coce de cette pathologie est donc primordiale pour é viter les complications potentiellement dé sastreuses induites par une anticoagulation inapproprié e. La confirmation diagnostique repose essentiellement sur l'endoscopie digestive haute.…”

Section: Discussionunclassified

Hématome intramural disséquant de l’œsophage : une cause rare de douleur thoracique

et al. 2008

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“…There are few reports of intramural esophageal hematomas after thrombolysis for myocardial infarction [6] or pulmonary embolism [7], after placement of nasogastric [8] or orotracheal [1] tubes. To our knowledge, this is the first report of this type of injury after thrombolysis for an acute ischemic stroke, a situation where trauma from nasogastric tube placement is common.…”

mentioning

confidence: 99%

Intramural hematoma of the esophagus after thrombolysis for ischemic stroke

Silva

Saiote

Salvado

et al. 2015

The American Journal of Emergency Medicine

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Intramural dissecting hematoma is an unusual esophageal condition with a threatening presentation but excellent prognosis when managed conservatively. We report the case of an 88-year-old woman who developed an intramural hematoma of the esophagus after intravenous thrombolysis for an acute ischemic stroke. Before thrombolysis, nasogastric intubation was attempted unsuccessfully. She was kept on nil by mouth, intravenous hydration, proton pump inhibitor, antiemetics, and an antibiotic initiated 2 days before for periodontal disease. The esophageal hematoma regressed, and she resumed oral diet asymptomatically. To our knowledge, this is the first report of this type of lesion after thrombolysis for an ischemic stroke. A brief discussion and literature review are presented.

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Dissecting intramural hematoma of the esophagus after thrombolysis for myocardial infarction

Cited by 12 publications

References 11 publications

Intramural oesophageal dissection

Intramural oesophageal dissection

Hématome intramural disséquant de l’œsophage : une cause rare de douleur thoracique

Intramural hematoma of the esophagus after thrombolysis for ischemic stroke

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