Oesophageal haematoma: Report of three cases

Herbetko, J.; Brunton, F.J.

doi:10.1016/s0009-9260(88)80314-3

Cited by 13 publications

(8 citation statements)

References 3 publications

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“…Upper gastrointestinal endoscopy can be safely and effectively used in the diagnosis and monitoring of oesophageal haematomas 3,5 , 8,13−16 …”

Section: Resultsmentioning

confidence: 99%

Oesophageal dissection: Contrast studies and CT in diagnosis and monitoring

Constantine

2003

Australasian Radiology

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Oesophageal dissection with intramural haematoma formation can be difficult to diagnose. Endoscopy can be diagnostic, but imaging techniques including computed tomography and contrast swallows can both accurately demonstrate a dissection and exclude many other pathologies. A case utilizing both imaging modalities to diagnose and monitor the condition in a patient with a bleeding disorder is presented.

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“…Upper gastrointestinal endoscopy can be safely and effectively used in the diagnosis and monitoring of oesophageal haematomas 3,5 , 8,13−16 …”

Section: Resultsmentioning

confidence: 99%

Oesophageal dissection: Contrast studies and CT in diagnosis and monitoring

Constantine

2003

Australasian Radiology

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“…To our knowledge, only five cases of achalasia with EIH have been reported. 5 , 6 , 7 , 8 , 9 Of the five cases previously reported, two were treated with Heller's myotomy, one with surgery, one with endoscopic dilatation, and one with medication. One case treated with Heller's myotomy showed recurrence of EIH after 15 months, 5 and one with medication showed recurrence of EIH after 7 years.…”

Section: Discussionmentioning

confidence: 99%

“… 3 The underlying etiology or predisposing factors were reported to be esophageal instrumentation, vomiting, trauma, pill‐induced injury, food impaction‐related issue, or coagulation defects. 4 However, reports of EIH on achalasia patients are quite limited, 5 , 6 , 7 , 8 , 9 and POEM procedure for achalasia with EIH has not been reported.…”

Section: Introductionmentioning

confidence: 99%

Achalasia with esophageal intramural hematoma treated by per‐oral endoscopic myotomy (POEM)

Fujiyoshi

Kimura

et al. 2021

DEN Open

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Esophageal intramural hematoma (EIH) is a condition which occurs as a result of hemorrhage within the esophageal wall including the submucosal layer. However, reports of EIH on achalasia patients are quite limited and per‐oral endoscopic myotomy (POEM) for achalasia with EIH has not been reported. This is the first case report that demonstrated a successful treatment of achalasia with EIH by POEM. In achalasia, since there is absence of lower esophageal sphincter relaxation, as barotraumatic pathogenesis, an increase in the intraesophageal pressure may cause EIH. As direct traumatic pathogenesis, the stasis of food may directly injure the esophageal wall resulting in EIH. After confirming the hematoma healed until it became an ulcer, POEM was performed on the posterior axis since the intramural hematoma was located anteriorly. The procedure was completed successfully without any occurrence of adverse events. On 2‐months follow‐up, improvement in dysphagia was noted, and complete epithelialization of the intramural hematoma region was seen on endoscopic examination. On 1‐year follow‐up, patient did not have recurrence of dysphagia and intramural hematoma. In summary, we reported a case of achalasia with EIH, which was treated by POEM. POEM procedure may be effective not only for the improvement of dysphagia but also for a better ulcer healing and prevention of intramural hematoma recurrence.

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“…Once IHO has been confirmed, conservative treatment is recommended [6,14,25]. Of cases reported in the literature, 96 % were successfully treated conservatively.…”

Section: Discussionmentioning

confidence: 99%

Intramural haematoma of the oesophagus

et al. 2013

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Intramural haematoma of the oesophagus (IHO) is a rare, benign condition presenting as acute chest pain, dysphagia and haematemesis, secondary to a haematoma within the submucosal layer of the oesophagus. Here we present three patients (1 male and 2 female, mean age 68 years). Upper endoscopy, computed tomography (CT) scan and Gastrografin swallow were performed for diagnosis. The patients were managed conservatively. Repeat endoscopy at 1 month revealed complete resolution of the haematoma. A review of literature demonstrates IHO is twice as common in females with mean age of 61.8 years (range 20-92 years). Majority of cases were successfully managed conservatively and discharged on day 8 (range 7-15 days). Only two required surgery. Our experience and review of the literature demonstrate IHO has excellent prognosis with conservative treatment. Misdiagnosis and incorrect treatment as Boerhaave's syndrome, a cardiac event or a pulmonary pathology could lead to worsening of the clinical condition.

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Oesophageal haematoma: Report of three cases

Cited by 13 publications

References 3 publications

Oesophageal dissection: Contrast studies and CT in diagnosis and monitoring

Oesophageal dissection: Contrast studies and CT in diagnosis and monitoring

Achalasia with esophageal intramural hematoma treated by per‐oral endoscopic myotomy (POEM)

Intramural haematoma of the oesophagus

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