Korean J Gastrointest Endosc.  1998 Dec;18(6):872-877.

Spontaneous Intramural Hematoma of the Esophagus

Affiliations
  • 1Department of Internal Medicine, Institute for Digestive Research, Soon Chun Hyang University College of Medicine.

Abstract

Spontaneous intramural hematoma of the esophagus is a rare condition in which an intramural hemorrhage leads to a varying degree of submucosal dissection of the esophageal wall. This disorder has been seen predominantly in women in the sixth or seventh decade and has occured with variable etiology. The pathogenesis of this disorder has yet to be clarified. The triad of symptoms of this disorder includes retrostemal pain, mild hematemesis and odynophagia. The diagnosis is usually made by endoscnpy or with an esophagogram, It is important to differentiate esophageal submucosal dissection from other disorders of similar appearance, such as Mallory-Weiss syndrome, esophageal perforation, or dissecting aneurysm, all of which require surgical treatment. The prognosis of spontaneous intramural hematoma of the esophagus (SIHE) is excellent with conservative therapy, but close follow-up care is necessary. A 62-year-old female was admitted to our hospital complaining of chest pain and hematemesis. Endoscopic features showed a large bluish hematoma which obliterated esophageal lumen from the proximal esophagus. We report a case of spontaneous intramural hematoma of the esophagus showing typical endoscopic findings with spontaneous improvement with a review of the literature.

Keyword

Spontaneous intramural hematoma; Esophagus

MeSH Terms

Aneurysm, Dissecting
Chest Pain
Diagnosis
Esophageal Perforation
Esophagus*
Female
Follow-Up Studies
Hematemesis
Hematoma*
Hemorrhage
Humans
Mallory-Weiss Syndrome
Middle Aged
Prognosis
Full Text Links
  • KJGE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error