Korean J Thorac Cardiovasc Surg.  1999 Apr;32(4):404-407.

Intermuscular Hematoma in Esophagus: without Tearing

• Yoon YH
• Kim HK
• Kang JS

Abstract

Spontanous hematoma of the esophagus is a rare condition affecting middle aged or elderly women. We experienced one case of esophageal hematoma which attracted our attention due to its confusing presentation clinically. The pathogenesis has been in dispute so far. The diagnosis has traditionally been made by barium esophagogram. We proved the diagnosis of spontaneous hematoma of the esophagus by utilizing CT scan and MRI. This condition led to conservative treatment and full recovery ultimately, but we performed the surgical correction because the filling defect persisted and the dysphagia got worse on the 20th day of hospital stay. Hematoma was located between the inner layer of circular muscle and the outer layer of longitudinal muscle which we considered as intermuscular hematoma of the esophagus.

Keyword

Esophagus; Hematoma

MeSH Terms

Aged
Barium
Deglutition Disorders
Diagnosis
Dissent and Disputes
Esophagus*
Female
Hematoma*
Humans
Length of Stay
Magnetic Resonance Imaging
Middle Aged
Tomography, X-Ray Computed
Barium