Clin Endosc.  2012 Nov;45(4):417-420.

Intramural Hematoma of the Esophagus after Endoscopic Pinch Biopsy

• Jeong ES
• Kim MJ
• Yoo SH
• Kim DH
• Jung JS
• Koo NH
• Chang SH

Abstract

Intramural hematoma of the esophagus (IHE) is an uncommon form of esophageal injury, which may be an intermediate of mucosal tear (Mallory-Weiss syndrome) or transmural rupture (Boerhaave's syndrome). To date, the pathogenesis of IHE has not been well documented. IHE may occur within the submucosal layer of the esophagus following dissection of the mucosa. The most commonly presented symptoms are sudden retrosternal pain, dysphagia and hematemesis. The disorder can occur spontaneously or secondarily to trauma. In this report, we present a case of IHE which occurred after endoscopic biopsy and was recovered following conservative management in a patient who was taking long-term aspirin medication.

Keyword

Esophagus; Intramural hematoma; Endoscopic biopsy; Aspirin

MeSH Terms

Aspirin
Biopsy
Deglutition Disorders
Esophagus
Hematemesis
Hematoma
Humans
Mucous Membrane
Rupture
Aspirin