Esophageal Hematoma following Acute Esophageal Barotrauma

Abstract

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A close call: intramural oesophageal haematoma presenting with airway compromise

“…Literature consists of case reports and small series, with the first case published in 1964 1 . Aetiology is either iatrogenic, following oesophageal instrumentation for endoscopy, nasogastric tube placement or endotracheal intubation; traumatic, due to foreign body or food bolus, forceful vomiting or dry retching; or spontaneous 2–5 . Anticoagulation, coagulopathy, female sex and advanced age are considered to be the main risk factors 6 …”

“…1 Aetiology is either iatrogenic, following oesophageal instrumentation for endoscopy, nasogastric tube placement or endotracheal intubation; traumatic, due to foreign body or food bolus, forceful vomiting or dry retching; or spontaneous. [2][3][4][5] Anticoagulation, coagulopathy, female sex and advanced age are considered to be the main risk factors. 6 Presentation of IOH can vary depending on the severity of bleeding, degree of oesophageal occlusion and underlying comorbidities.…”