Intramural hematomas of the esophagus

Abstract

Abstract. Two cases of intramural hematoma of the esophagus with complete resolution following conservative therapy are reported. The radiographic and clinical features of this entity are presented as well as a brief review of the pertinent literature.

Spontaneous Oesophageal Intramural Haematoma: an Uncommon Condition in Two Patients

“…Contrast extravasation could be demonstrated if there is communication between the haematoma and the oesophageal lumen due to mucosal rupture, producing a strip-like collection of contrast material inside the wall, namely the double barrel sign. 8,9 Oesophageal wall thickening per se is non-specific and may be seen in other conditions. Circumferential oesophageal wall thickening could be due to diffuse oesophageal spasm, oesophagitis or, occasionally, malignant oesophageal tumours.…”

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

“…It is important to accurately diagnose intramural haematoma of the oesophagus because it can mimic many entities (such as oesophageal neoplasm, myocardial infarction or pulmonary embolism) which may require treatments that are otherwise contraindicated in the presence of a haematoma 6,22,23 . Intramural haematoma of the oesophagus usually presents with sudden onset of retrosternal chest pain, dysphagia and odynophagia 24 . Haematemesis is not uncommon 6,25 .…”

“…6,22,23 Intramural haematoma of the oesophagus usually presents with sudden onset of retrosternal chest pain, dysphagia and odynophagia. 24 Haematemesis is not uncommon. 6,25 Chest pain may be severe and imitate a myocardial infarction or dissecting aortic aneurysm.…”