Intramural hematoma of the esophagus after thrombolysis for ischemic stroke

Autor: Pedro Duarte, Ana Paiva Nunes, Vera Salvado, Mário J. Silva, Joana Saiote
Rok vydání: 2014
Předmět:
Esophageal Diseases/chemically induced
medicine.medical_specialty
medicine.drug_class
medicine.medical_treatment
Proton-pump inhibitor
HSJ UCV
Esophageal Diseases
Lesion
Hematoma
Fibrinolytic Agents
Intramural hematoma
HSJ MED
medicine
Humans
Thrombolytic Therapy
cardiovascular diseases
HSAC GAS
Esophagus
Thrombolytic Therapy/adverse effects
Aged
80 and over
business.industry
Fibrinolytic Agents/adverse effects
General Medicine
Thrombolysis
medicine.disease
Surgery
Tissue Plasminogen Activator/adverse effects
Stroke
medicine.anatomical_structure
Anesthesia
Tissue Plasminogen Activator
Ischemic stroke
Emergency Medicine
Nasogastric intubation
Female
Hematoma/chemically induced
medicine.symptom
business
Gastrointestinal Hemorrhage
Stroke/drug therapy
Gastrointestinal Hemorrhage/chemically induced
Zdroj: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação
instacron:RCAAP
ISSN: 1532-8171
Popis: Intramural dissecting hematoma is an unusual esophageal condition with a threatening presentation but excellent prognosis when managed conservatively.We report the case of an 88-year-old woman who developed an intramural hematoma of the esophagus after intravenous thrombolysis for an acute ischemic stroke. Before thrombolysis, nasogastric intubation was attempted unsuccessfully. She was kept on nil by mouth, intravenous hydration, proton pump inhibitor, antiemetics,and an antibiotic initiated 2 days before for periodontal disease. The esophageal hematoma regressed, and she resumed oral diet asymptomatically.To our knowledge, this is the first report of this type of lesion after thrombolysis for an ischemic stroke. A brief discussion and literature review are presented.
Databáze: OpenAIRE
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