Intramural Hematoma of the Esophagus after Endoscopic Pinch Biopsy.
- Author:
Eun Soo JEONG
1
;
Min Jeong KIM
;
Seung Hyen YOO
;
Dong Hyun KIM
;
Jin Sung JUNG
;
Nam Ho KOO
;
Se Heon CHANG
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, KEPCO Medical Center, Seoul, Korea. jfkone@naver.com
- Publication Type:Case Report
- Keywords:
Esophagus;
Intramural hematoma;
Endoscopic biopsy;
Aspirin
- MeSH:
Aspirin;
Biopsy;
Deglutition Disorders;
Esophagus;
Hematemesis;
Hematoma;
Humans;
Mucous Membrane;
Rupture
- From:Clinical Endoscopy
2012;45(4):417-420
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intramural hematoma of the esophagus (IHE) is an uncommon form of esophageal injury, which may be an intermediate of mucosal tear (Mallory-Weiss syndrome) or transmural rupture (Boerhaave's syndrome). To date, the pathogenesis of IHE has not been well documented. IHE may occur within the submucosal layer of the esophagus following dissection of the mucosa. The most commonly presented symptoms are sudden retrosternal pain, dysphagia and hematemesis. The disorder can occur spontaneously or secondarily to trauma. In this report, we present a case of IHE which occurred after endoscopic biopsy and was recovered following conservative management in a patient who was taking long-term aspirin medication.