Oesophageal dissection after thrombolytic treatment for myocardial infarction. |
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| Authors: | F Jishi C E Sissons E J Silverstone J F Coakley F Fraser |
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| Affiliation: | Wrexham Maelor Hospital, Clwyd. |
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| Abstract: | A 62 year old woman admitted with a history suggesting acute myocardial infarction had thrombolytic treatment with anisoylated plasminogen-streptokinase activator complex, which resulted in submucosal haemorrhage in the oesophagus; this caused dissection of the wall of the oesophagus and complete dysphagia. The haematoma resolved spontaneously, leaving behind a diverticulum, with reduced peristalsis and delayed emptying but no obstruction. |
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