Intramural Hematoma of the Esophagus Complicating Severe Preeclampsia
Intramural hematoma of the esophagus is a rare injury causing esophageal mucosal dissection. Forceful vomiting and coagulopathy are common underlying causes in the elderly population taking antiplatelets or anticoagulation agents. Acute retrosternal pain followed by hematemesis and dysphagia differe...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2017/6304194 |
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| author | Simone Garzon Giovanni Zanconato Nicoletta Zatti Giuseppe Chiarioni Massimo Franchi |
| author_facet | Simone Garzon Giovanni Zanconato Nicoletta Zatti Giuseppe Chiarioni Massimo Franchi |
| author_sort | Simone Garzon |
| collection | DOAJ |
| description | Intramural hematoma of the esophagus is a rare injury causing esophageal mucosal dissection. Forceful vomiting and coagulopathy are common underlying causes in the elderly population taking antiplatelets or anticoagulation agents. Acute retrosternal pain followed by hematemesis and dysphagia differentiates the hematoma from other cardiac or thoracic emergencies, including acute myocardial infarction or aortic dissection. Direct inspection by endoscopy is useful, but chest computed tomography best assesses the degree of obliteration of the lumen and excludes other differential diagnoses. Intramural hematoma of the esophagus is generally benign and most patients recover fully with conservative treatment. Bleeding can be managed medically unless in hemodynamically unstable patients, for whom surgical or angiographic treatment may be attempted; only rarely esophageal obstruction requires endoscopic decompression. We report an unusual case of esophageal hematoma, presenting in a young preeclamptic woman after surgical delivery of a preterm twin pregnancy, with a favorable outcome following medical management. |
| format | Article |
| id | doaj-art-27faec3ff7214caab5a9ea410b42d78c |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-27faec3ff7214caab5a9ea410b42d78c2025-02-03T01:09:28ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/63041946304194Intramural Hematoma of the Esophagus Complicating Severe PreeclampsiaSimone Garzon0Giovanni Zanconato1Nicoletta Zatti2Giuseppe Chiarioni3Massimo Franchi4Department of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyDepartment of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyDepartment of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyDepartment of Medicine and Gastroenterology, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyDepartment of Surgical, Odontostomatological and Maternal and Child Sciences, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyIntramural hematoma of the esophagus is a rare injury causing esophageal mucosal dissection. Forceful vomiting and coagulopathy are common underlying causes in the elderly population taking antiplatelets or anticoagulation agents. Acute retrosternal pain followed by hematemesis and dysphagia differentiates the hematoma from other cardiac or thoracic emergencies, including acute myocardial infarction or aortic dissection. Direct inspection by endoscopy is useful, but chest computed tomography best assesses the degree of obliteration of the lumen and excludes other differential diagnoses. Intramural hematoma of the esophagus is generally benign and most patients recover fully with conservative treatment. Bleeding can be managed medically unless in hemodynamically unstable patients, for whom surgical or angiographic treatment may be attempted; only rarely esophageal obstruction requires endoscopic decompression. We report an unusual case of esophageal hematoma, presenting in a young preeclamptic woman after surgical delivery of a preterm twin pregnancy, with a favorable outcome following medical management.http://dx.doi.org/10.1155/2017/6304194 |
| spellingShingle | Simone Garzon Giovanni Zanconato Nicoletta Zatti Giuseppe Chiarioni Massimo Franchi Intramural Hematoma of the Esophagus Complicating Severe Preeclampsia Case Reports in Obstetrics and Gynecology |
| title | Intramural Hematoma of the Esophagus Complicating Severe Preeclampsia |
| title_full | Intramural Hematoma of the Esophagus Complicating Severe Preeclampsia |
| title_fullStr | Intramural Hematoma of the Esophagus Complicating Severe Preeclampsia |
| title_full_unstemmed | Intramural Hematoma of the Esophagus Complicating Severe Preeclampsia |
| title_short | Intramural Hematoma of the Esophagus Complicating Severe Preeclampsia |
| title_sort | intramural hematoma of the esophagus complicating severe preeclampsia |
| url | http://dx.doi.org/10.1155/2017/6304194 |
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