Spontaneous Intramural Esophageal Hematoma

Syed, Taseen; Salem, G; Fazili, Javid

doi:10.1016/j.cgh.2017.04.027

Cited by 8 publications

(12 citation statements)

References 3 publications

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“…The most common presenting symptoms are chest pain and/or hematemesis. Other symptoms may include epigastric pain and odynophagia (2). Computed tomography (CT) scan and magnetic resonance imaging (MRI) detected an intraluminal or intramural soft tissue density and also ruled out an esophageal perforation.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection of an unexpected symptomatic esophageal mass: intramural esophageal hematoma

Wu¹,

Tong²,

Ni³

et al. 2023

Rev Esp Enferm Dig

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Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection of an unexpected symptomatic esophageal mass: intramural esophageal hematoma

Wu¹,

Tong²,

Ni³

et al. 2023

Rev Esp Enferm Dig

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“…Intramural esophageal hematoma is a rare esophageal pathology that can occur spontaneously or as a result of a procedure-related complication such as esophageal dilation, variceal band ligation, and endotracheal intubation. The most common predisposing factors include female sex, foreign body ingestion, coagulopathy, and trauma to chest [ 4 – 6 ]. Like our patient, some clinical clues may help clinicians to diagnose it and avoid unnecessary workups.…”

Section: Discussionmentioning

confidence: 99%

Intramural Esophageal Hematoma Mimicking Acute Coronary Syndrome: Complication of Warfarin Use in a Mechanical Heart Valve Patient

Alirezaei

Irilouzadian

Pirsalehi

et al. 2022

Case Reports in Medicine

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A 59-year-old female with a history of mitral valve replacement presented to emergency department, complaining of sudden-onset retrosternal chest pain since 4 hours ago. Electrocardiogram, laboratory tests, and computed tomography (CT) angiography of aorta were performed and ruled out aortic dissection and cardiovascular events. However, new complaint of odynophagia, dysphagia, and incidental findings in CT angiography proposed esophageal pathologies. After initial workup including upper gastrointestinal endoscopy, intramural esophageal hematoma was diagnosed. Laboratory tests revealed significant reduction in the hemoglobin level. Management of warfarin-induced major bleeding in a patient whom anticoagulation was necessary for the prevention of mechanical heart valve thrombosis was challenging. The patient recovered fully with conservative treatment and was discharged on hospital day 14 with low molecular weight heparin. We described a case of intramural esophageal hematoma as a rare condition that could be misdiagnosed as a cardiovascular emergent disease and would be worsened by antiplatelet and anticoagulation therapy. Accordingly, it is important to differentiate intramural esophageal hematoma from cardiac ischemic events. Another challenge was correction of coagulation in the presence of mechanical mitral valve. Fortunately, we had a favorable outcome following conservative management.

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“…Esophageal hematoma refers to blood dissecting within the submucosal plane. These may be spontaneous in the setting of anticoagulation, iatrogenic in the setting of endoscopy, or post-traumatic [ 35 ]. This entity is typically managed conservatively.…”

Section: Normal Esophagus On Fluoroscopymentioning

confidence: 99%

Dots, lines, contours, and ends: An image-based review of esophageal pathology

Keshav

Khalid

Parasher

et al. 2021

European Journal of Radiology Open

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Highlights Learning Point #1 : Small ulcers on esophagography are usually attributable to herpes esophagitis and drug-induced esophagitis. Although rare, Crohn’s disease may produce small apthoid ulcers. Large ulcers are usually attributable to CMV or HIV esophagitis. Learning Point #2 : The early findings of candida are plaques that mimic glycogenic acanthosis. When plaques are seen, consider early candida or glycogenic acanthosis. When shaggy esophagus is identified, consider candidiasis. Learning Point #3 : Varices and varicoid esophageal carcinoma may appear similar on imaging. The presence of obstruction and lack of change with time and position should sway the Radiologist to diagnosing varicoid esophageal carcinoma. Learning Point #4 : Transverse esophageal lines should suggest the entities of feline esophagus and idiopathic eosinophilic esophagitis. Learning Point #5 : Esophageal contour abnormalities may suggest extrinsic or intrinsic lesions. Extrinsic lesions include aberrant vessels. Intrinsic lesions include intramural pseudodiverticulosis, gastroesophageal reflux, Barrett’s esophagus, and esophageal cancer.

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Spontaneous Intramural Esophageal Hematoma

Cited by 8 publications

References 3 publications

Endoscopic submucosal dissection of an unexpected symptomatic esophageal mass: intramural esophageal hematoma

Endoscopic submucosal dissection of an unexpected symptomatic esophageal mass: intramural esophageal hematoma

Intramural Esophageal Hematoma Mimicking Acute Coronary Syndrome: Complication of Warfarin Use in a Mechanical Heart Valve Patient

Dots, lines, contours, and ends: An image-based review of esophageal pathology

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