Esophageal Tuberculosis Presenting as Intramural Esophagogastric Hematoma in a Hemophiliac Patient

Intragumtornchai, Tanin; Israsena, S; Benjacholamard, Vichai; Lerdlum, Sukalaya; Benjavongkulchai, Sunpetch

doi:10.1097/00004836-199203000-00017

Cited by 8 publications

(2 citation statements)

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“…Intramural esophagogastric hematoma in hemophilia caused by tuberculosis infection was reported [6]. However, a report of gastric intramural hematoma caused by anisakis infection has not been published.…”

Section: Discussionmentioning

confidence: 99%

A Case of Gastric Intramural Hematoma Caused by Anisakis Infection

Lee

2020

Case Reports in Gastrointestinal Medicine

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A sixty-year-old lady admitted complaining of epigastric pain and hematemesis. On admission, esophagogastroduodenoscopic examination revealed ruptured intramural hematoma on the antrum of stomach. Eight days later, follow-up EGD showed improving ruptured intramural hematoma and one anisakis larva. Therefore, the gastric intramural hematoma was considered to be caused by anisakis infection. She recovered after ten days of conservative treatment.

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Section: Discussionmentioning

confidence: 99%

A Case of Gastric Intramural Hematoma Caused by Anisakis Infection

Lee

2020

Case Reports in Gastrointestinal Medicine

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“…IHO can be spontaneous or idiopathic where no underlying cause is identified, occurring even in the absence of vomiting [2,6,19,20]. Rare causes include oesophageal carcinoma [21], tuberculosis granuloma of the oesophagus [22] and exposure to carbon tetrachloride [23].…”

Section: Discussionmentioning

confidence: 99%

Intramural haematoma of the oesophagus

et al. 2013

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Intramural haematoma of the oesophagus (IHO) is a rare, benign condition presenting as acute chest pain, dysphagia and haematemesis, secondary to a haematoma within the submucosal layer of the oesophagus. Here we present three patients (1 male and 2 female, mean age 68 years). Upper endoscopy, computed tomography (CT) scan and Gastrografin swallow were performed for diagnosis. The patients were managed conservatively. Repeat endoscopy at 1 month revealed complete resolution of the haematoma. A review of literature demonstrates IHO is twice as common in females with mean age of 61.8 years (range 20-92 years). Majority of cases were successfully managed conservatively and discharged on day 8 (range 7-15 days). Only two required surgery. Our experience and review of the literature demonstrate IHO has excellent prognosis with conservative treatment. Misdiagnosis and incorrect treatment as Boerhaave's syndrome, a cardiac event or a pulmonary pathology could lead to worsening of the clinical condition.

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