Spontaneous esophageal hematoma: Diagnostic contribution of echoendoscopy

Mion, François; Bernard, Guy; Valette, Pierre-Jean; Lambert, René

doi:10.1016/s0016-5107(94)70224-1

Cited by 26 publications

(18 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bleeding appeared in 70% of all cases, and obstruction signs developed with progressive enlargement of a hematoma [6,7]. Management is conservative, and the clinical course is usually benign [8].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Ultrasound Images of Esophageal Intramural Hematoma

Lee

Yeh

Chang

et al. 2010

Journal of Medical Ultrasound

View full text Add to dashboard Cite

KEY WORDSendoscopic ultrasound, esophageal intramural hematoma Esophageal intramural hematoma (EIH) is a type of esophageal traumatic injury that can occur spontaneously or secondarily. We report the case of a 79-year-old man with spontaneous EIH suffering from sudden onset of odynophagia. The esophageal lesion appeared as an atypical presentation mimicking malignancy on upper gastrointestinal endoscopy and mediastinal computed tomography. Endoscopic ultrasound revealed a thickened esophageal wall with a submucosal hypoechoic lesion and preservation of the sonographic layer pattern. We suggest that endoscopic ultrasound can play an important role in the diagnosis of EIH. ª

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic Ultrasound Images of Esophageal Intramural Hematoma

Lee

Yeh

Chang

et al. 2010

Journal of Medical Ultrasound

View full text Add to dashboard Cite

show abstract

“…The pathophysiology is characterised by submucosal haemorrhage that dissects the submucosa and classically occurs in the distal oesophagus because this region is least supported by adjacent structures such as the trachea or heart [3]. The diagnosis of DIHO can be safely made with several complimentary investigations [1].…”

Section: Discussionmentioning

confidence: 99%

“…CT/MRI) is invaluable and excludes other differential diagnoses, such as aortic dissection, and provides a noninvasive tool for follow-up [5,6]. Finally, endoscopic ultrasound scanning (EUS) clearly reveals that the haematoma lies in the submucosa and not in the extramural posterior mediastinal soft tissues [3].…”

Section: Discussionmentioning

confidence: 99%

Dissecting intramural haematoma of the oesophagus

Modi

Edwards

Fox

et al. 2005

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

Dissecting intramural haematoma of the oesophagus (DIHO) is a rare condition, which has an excellent prognosis when managed conservatively. Awareness of this condition is vital to guide subsequent investigations and avoid inappropriate treatment or unnecessary surgical intervention. We describe an unusual case of massive DIHO causing left atrial compression presenting with pericarditic electrocardiographic changes and document the utility of endoscopic ultrasound/computed tomography to make the diagnosis.

show abstract

“…Among these disorders, Mallory-Weiss tear is most frequently observed; it can be endoscopically treated, as serious conditions are rare. Boerhaave's syndrome causes more fulminant and severe thoracic pain, and often induces septic shock, requiring emergency surgery [6]. Among the three types of acute esophageal injury, esophageal submucosal hematoma, excluding that after sclerotherapy for varices [7], is relatively rare [8,9].…”

Section: Discussionmentioning

confidence: 99%

Esophageal submucosal hematoma: a case report and review of the literature

et al. 2005

View full text Add to dashboard Cite

The patient was a 75-year-old man. Under a diagnosis of angina pectoris, he was being treated with aspirin and ticlopidine hydrochloride at a local clinic. Severe postprandial pharyngeal/thoracic pain and hematemesis occurred. Upper digestive tract endoscopy revealed an extensive submucosal hematoma involving the esophageal orifice and cardia. Computed tomography (CT) scan did not show aortic dissociation or mediastinal emphysema. Antiplatelet therapy was discontinued, and follow-up was continued by fasting and conservative treatment with an H 2 -blocker. Ten days after onset, endoscopy showed the disappearance of the hematoma, and ingestion was started. Twenty-two days after onset, endoscopy revealed regeneration and cicatrization of the esophageal mucosa. In a detailed examination of heart diseases, angina pectoris was ruled out; therefore, antiplatelet therapy was discontinued. There has been no recurrent esophageal submucosal hematoma for 4 years of follow-up.

show abstract

Spontaneous esophageal hematoma: Diagnostic contribution of echoendoscopy

Cited by 26 publications

References 15 publications

Endoscopic Ultrasound Images of Esophageal Intramural Hematoma

Endoscopic Ultrasound Images of Esophageal Intramural Hematoma

Dissecting intramural haematoma of the oesophagus

Esophageal submucosal hematoma: a case report and review of the literature

Contact Info

Product

Resources

About