Spontaneous intramural esophageal hematoma (IEH) secondary to anticoagulation and/or thrombolysis therapy in the setting of a pulmonary embolism: a case report.

Autor: Hong M; Saba University School of Medicine, Saba, Netherland-Antilles. melina.hong@gmail.com, Warum D, Karamanian A
Jazyk: angličtina
Zdroj: Journal of radiology case reports [J Radiol Case Rep] 2013 Feb 01; Vol. 7 (2), pp. 1-10. Date of Electronic Publication: 2013 Feb 01 (Print Publication: 2013).
DOI: 10.3941/jrcr.v7i2.1210
Abstrakt: Intramural esophageal hematoma is part of a spectrum of esophageal injuries. Vomiting and straining, endoscopic procedures and bleeding disorders are the most common predisposing factors. However, it can also be an unusual complication of anticoagulation and/or thrombolysis therapy. The most common symptoms are retrosternal chest pain, dysphagia and hematemesis. Computed tomography is the modality of choice and treatment is medically conservative with the cessation of Warfarin and thrombolysis use. When anticoagulation and/or thrombolysis therapy is necessary, periodic reassessment for symptoms of intramural esophageal hematoma may be helpful for early identification and management. We described one case of intramural esophageal hematoma possibly resulting from anticoagulation and/or thrombolysis therapy in the setting of pulmonary embolism.
Databáze: MEDLINE