Spontaneous Paraesophageal Hematoma

Abstract

Spontaneous paraesophageal hematoma (SPH) likely shares a common etiology with spontaneous intramural esophageal hematoma (IEH). Patients with IEH typically present with hematemesis or melena leading to early detection and management, but patients with SPH do not have overt gastrointestinal bleeding on presentation. Management depends on the correction of the underlying causative factor. We present the first case of a spontaneous paraesophageal hematoma in a patient with hemophilia B. Awareness of this complication of hemophilia, its clinical manifestations, and imaging findings, allows for a timely diagnosis and appropriate management.

Spontaneous Intramural Oesophageal Haematoma in a Patient with Uncontrolled Hypertension: An Unusual Chest Pain Aetiology

“…Patients are kept nil by mouth initially and maintained on IV fluids and NG/NJ feeding, with gradual reintroduction of a soft diet. In the majority case studies reported to date, patient outcomes have been good with complete resolution of lesions and no long-term complications [ 9 ]. In extremely rare cases, angiography and embolization or surgical intervention is mentioned, probably when a distinctive oesophageal pathology is eventually identified [ 10 ].…”