Korean J Gastroenterol.  2002 Jul;40(1):60-63.

A Case of Intramural Hematoma of the Esophagus Accompanied with Subcutaneous Hemorrhage

• Choi JK
• Lee SI
• Yun IY
• Lee SO

Abstract

Intramural hematoma of the esophagus resulted from dissection of the mucosa is a rare condition, usually affecting predominantly middle or elderly women. It has various etiologies, but its exact pathogenesis still remains unknown. The triad symptoms of this disorder are retrosternal chest pain, mild hematemesis, dysphagia and odynophagia. Esophagoscopy, barium swallow and cross-sectional radiology are all appropriate modalities of investigation. The condition may mimic Mallory-Weiss syndrome, Boerhaave syndrome, acute myocardial infarction, or dissection of the thoracic aorta. Differential diagnosis is crucial for proper management. It can be treated by conservative therapy. The prognosis is favorable, but a close follow-up is necessary. We present a case of intramural hematoma of the esophagus accompanied with subcutaneous hemorrhage in a patient who was admitted due to vomiting, neck swelling, epigastric and chest pain.

Keyword

Intramural hematoma; Esophagus; Subcutaneous hemorrhage

MeSH Terms

Aged
Aorta, Thoracic
Barium
Chest Pain
Deglutition Disorders
Diagnosis, Differential
Esophagoscopy
Esophagus*
Female
Follow-Up Studies
Hematemesis
Hematoma*
Hemorrhage*
Humans
Mallory-Weiss Syndrome
Mucous Membrane
Myocardial Infarction
Neck
Prognosis
Vomiting
Barium