The Korean Journal of Helicobacter and Upper Gastrointestinal Research  2013;13(2):124-127

doi:10.7704/kjhugr.2013.13.2.124

Pill-induced Intramural Hematoma of the Esophagus.

Hyung Seok YOON 1 ; Jeong Rok LEE ; Dong Keun SEOK ; Woong Gil CHOI ; Soon Young KO ; Joon Ho WANG ; Jae Dong LEE

Affiliations

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Keywords

Intramural hematoma; Esophagus; Pill; Chest pain

Country

Republic of Korea

Language

Korean

Abstract

Intramural hematoma of the esophagus is a rare cause of chest pain. Varying degrees of submucosal dissection and rupture of the esophagus can induce intramural hematoma of the esophagus. It is viewed as a complication of endoscopic sclerotherapy of esophageal varices, and is likely caused by an elevation in intraesophageal pressure due to factors such as blood coagulation abnormality, drugs, trauma or vomiting. We describe one case of pill-induced spontaneous intramural hematoma that was successfully managed by conservative treatment and discuss the case with a review of the literature.