Korean J Thorac Cardiovasc Surg.  2008 Dec;41(6):782-786.

Dissecting Intramural Hematoma of the Esophagus: A case report

• Choi JW
• Lee SS
• Choi H
• Moon JH
• Chung SH

Abstract

Dissection intramural hematoma of the esophagus (DIHO) is a rare, but well-documented condition that is part of the spectrum of acute esophageal injuries; these include the more common Mallory-Weiss tear and Boerhaave's syndrome. This disorder is predominantly seen in women during their sixth or seventh decade and the disease has various etiologies, but the pathogenesis has yet to be clarified. The triad of symptoms for this disorder includes retrosternal pain, hematemesis and odynophagia. It is important to differentiate esophageal submucosal dissection form other disorders that have a similar appearance, such as Mallory-Weiss syndrome and esophageal perforation because the prognosis of DIHO is excellent with conservative therapy and these other diseases require surgical treatment. We report here on a case of a dissecting intramural hematoma of the esophagus that was preoperatively misdiagnosed as the submucosal tumor of the esophagus preoperatively, and it was confirmed by Video-assisted thoracic surgery.

Keyword

Esophageal surgery; Esophageal trauma; Hematoma

MeSH Terms

Esophageal Perforation
Esophagus
Female
Hematemesis
Hematoma
Humans
Mallory-Weiss Syndrome
Mediastinal Diseases
Prognosis
Esophageal Perforation
Mediastinal Diseases