Intramural Hematoma of the Esophagus after Endoscopic Pinch Biopsy and Endoscopic Band Ligation.
- Author:
Jae Nam YANG
1
;
Yun Jeong LIM
;
Ji Hun KANG
;
Hyoun Woo KANG
;
Jun Kyu LEE
;
Yong Seok LEE
;
Jong Sun CHOI
;
Jin Ho LEE
Author Information
1. Department of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea. limyj@duih.org
- Publication Type:Case Report
- Keywords:
Esophagus;
Intramural hematoma;
Biopsy;
Endoscopic band ligation;
Aspirin
- MeSH:
Aspirin;
Back Pain;
Biopsy;
Chest Pain;
Deglutition Disorders;
Esophagus;
Fasting;
Female;
Hematemesis;
Hematoma;
Humans;
Ligation;
Mucous Membrane
- From:Korean Journal of Gastrointestinal Endoscopy
2010;40(2):107-110
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Esophageal intramural hematoma (EIH) is an uncommon clinical entity among the acute esophageal injuries, and EIH predominantly occurs in middle-aged women. The pathogenesis of EIH has not been clarified, yet this. Seems to occur within the submucosal layer of the esophagus after dissection of the mucosa. EIH may occur spontaneously or secondary to trauma. Patients usually complain of a sudden onset of severe retrosternal chest pain, hematemesis, back pain or dysphagia. Most EIHs show improvement through conservative management, including fasting and intravenous hydration, and this usually completely recovers within a period of 2~3 weeks. We report here on a case that EIH occurred after endoscopic pinch biopsy and endoscopic band ligation and this EIH was exacerbated in a patient who was taking long-term aspirin medication.
