Intramural hematoma of the esophagus: Unusual complication of variceal sclerotherapy

Steenbergen, Werner Van; Fevery, Johan; Broeckaert, L; Ponette, Eric; Baert, Albert; Groote, J. De

doi:10.1007/bf01887854

Cited by 15 publications

(9 citation statements)

References 20 publications

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“…The average amount of sclerosant injected per procedure in the group was 1 6.6 ml with a median amount of 19 ml. The average number of previous EES treatments was 3 …”

Section: Space and Lungsmentioning

confidence: 99%

CT after uncomplicated esophageal sclerotherapy

Mauro¹,

Jaques²,

Swantkowski³

et al. 1986

American Journal of Roentgenology

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“…The average amount of sclerosant injected per procedure in the group was 1 6.6 ml with a median amount of 19 ml. The average number of previous EES treatments was 3 …”

Section: Space and Lungsmentioning

confidence: 99%

CT after uncomplicated esophageal sclerotherapy

Mauro¹,

Jaques²,

Swantkowski³

et al. 1986

American Journal of Roentgenology

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“…An oesophageal haematoma may be also recognized at endoscopy as a large submucosal mass bulging into the lumen with dark blue discoloration of the overlying mucosa 26 …”

Section: Discussionmentioning

confidence: 99%

“…An oesophageal haematoma may be also recognized at endoscopy as a large submucosal mass bulging into the lumen with dark blue discoloration of the overlying mucosa. 26 Uncomplicated oesophageal haematomas generally resolve with conservative management. 2 Computed tomography or contrast studies can be used to monitor resolution, which generally occurs in 2-3 weeks.…”

Section: Discussionmentioning

confidence: 99%

Intramural haematoma of the oesophagus presenting as an unusual complication of endotracheal intubation

Yang

et al. 2007

Australasian Radiology

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Intramural haematoma of the oesophagus is an uncommon and under-recognized condition. It may mimic other causes of chest pain, haematemesis, or dysphagia, and hence pose a diagnostic challenge. We report a case of an unusual presentation of intramural haematoma of the oesophagus occurring as a presumed complication of endotracheal intubation. It was disguised as acute onset post-operative chest pain, and resolved with conservative management. Awareness of this uncommon complication is important to allow rapid and timely diagnosis and management. We review the literature, causes and imaging features of this condition.

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“…The initial treatment of intramural hematoma should be conservative 34 . Symptoms usually begin to resolve spontaneously within 36–72 h and disappear completely in 2–3 weeks 8,14 . Patients should be kept nil per mouth and receive intravenous fluids.…”

Section: Discussionmentioning

confidence: 99%

“…Intramural hematoma of the esophagus is a rare complication of EVS. A Medline computer search found 10 case reports of intramural hematoma of the esophagus (IHO) occurring after EVS 8–17 . We describe four additional patients with this complication and review the pathogenesis, diagnosis and management of iatrogenic intramural hematoma of the esophagus occurring after EVS.…”

Section: Introductionmentioning

confidence: 99%

Intramural esophageal hematoma after endoscopic injection sclerotherapy for bleeding varices

Beljon

Bornman

2003

Digestive Endoscopy

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Endoscopic variceal sclerotherapy (EVS) is widely used to treat bleeding esophageal varices. A variety of complications have been reported after EVS, including intramural hematoma of the esophagus (IHO), which occurs infrequently. The present report describes four new cases of IHO after EVS and reviews the pathogenesis, diagnosis and treatment of the condition. In addition, 10 patients with IHO after EVS documented in the literature are analyzed. Between 1984 and 2001, 580 patients with bleeding esophageal varices had 5038 endoscopies and underwent a total of 2628 variceal injection sessions. The incidence, presentation and response to conservative management of IHO were evaluated. Four of the 580 patients (0.7%) developed IHO as a complication of EVS. All developed severe retrosternal chest pain, sudden-onset dysphagia and odynophagia after EVS. Diagnosis was confirmed using upper gastrointestinal contrast studies. Patients were kept nil per mouth and received intravenous fluids until able to swallow without difficulty. Symptoms usually began to resolve spontaneously within 36-72 h and disappeared completely in 2-3 weeks. In a patient who has recently had EVS and has a clinical picture compatible with the diagnosis of IHO, contrast studies provide the simplest way of confirming the diagnosis and excluding an esophageal perforation. Treatment of IHO after endoscopic variceal sclerotherapy should be conservative, due to the benign, self-limiting nature of this uncommon complication.

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Intramural hematoma of the esophagus: Unusual complication of variceal sclerotherapy

Cited by 15 publications

References 20 publications

CT after uncomplicated esophageal sclerotherapy

CT after uncomplicated esophageal sclerotherapy

Intramural haematoma of the oesophagus presenting as an unusual complication of endotracheal intubation

Intramural esophageal hematoma after endoscopic injection sclerotherapy for bleeding varices

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