A hematoma of the esophagus causing the trachea to stenose |
| |
Authors: | Hidetoshi Inomata Katsutoshi Tanno Masanori Nakamura Kouji Yamaguchi Yasufumi Asai Hiroshi Natori |
| |
Institution: | (1) Sapporo Medical University School of Medicine, Department of Traumatology and Critical Care Medicine, S-1, W-16, Chuoku, Sapporo 060, Japan,;(2) 23-3-701 Nakajimahoncho 1 Chome, Muroran, Hokkaido, Japan,;(3) Sapporo Medical University School of Medicine, Department of Diagnostic Ultrasound and Medical Electronics, Sapporo, Japan, |
| |
Abstract: | We report a case of spontaneous intramural hematoma of the esophagus (SIHE) with severe dyspnea due to compression of the
trachea. SIHE is a rare hematoma that commonly presents with chest pain, epigastralgia, hematemesis, and dysphagia. Dyspnea
is not a common symptom; it has been reported in only one patient, who underwent surgery. In our case, intubation of the compressed
trachea prevented it from becoming more stenosed, and an operation was not needed. Another unusual feature of this case is
the endoscopic findings. Endoscopic examination in SIHE has often revealed the presence of a dark red, bluish, or purplish
bulge, suggesting the presence of a clot or blood in the esophageal wall. In our case, the bulge revealed by endoscopy in
the esophageal lumen was white at first, before later turning dark red.
Electronic Publication |
| |
Keywords: | Spontaneous intramural hematoma of the esophagus SIHE Hematoma of the esophagus Intramural hematoma Hematoma Esophagus |
本文献已被 PubMed SpringerLink 等数据库收录! |
|