Hematoma intramural esofágico / Esophageal intramural hematoma
Rev. chil. cir
;
64(1): 68-71, feb. 2012. ilus
Article
in Spanish
| LILACS
| ID: lil-627080
ABSTRACT
The most common presentation of esophageal hematoma is pain, dysphagia and hematemesis. We report two patients with the condition. A 77 years old female presenting with retrosternal pain and odynophagia after ingesting a pig bone. An upper gastrointestinal endoscopy showed a lineal hematoma, protruding to the lumen in the upper portion of the esophagus. The patient was managed with nil per os (NPO) and parenteral hydration and discharged 72 hours later. An 87 years old male presenting with two episodes of hematemesis and weight loss, an upper gastrointestinal endoscopy showed a dissecting hematoma involving the entire esophageal wall. The patient was managed with NPO and hydration and discharged in good conditions 11 days after admission.
RESUMEN
El hematoma intramural esofágico es infrecuente, existiendo pocos casos registrados en la literatura. Generalmente se presenta posterior a un trauma, por ejemplo asociado a procedimientos endoscópicos (escleroterapia), o en forma espontánea. La presentación clínica más frecuente es la tríada de dolor torácico, odinofagia/disfagia y/o hematemesis. Generalmente el tratamiento consiste en un manejo expectante con medidas de soporte habitual. Se exponen 2 casos clínicos presentados en nuestro centro durante el año 2009 y se realiza una revisión de la literatura.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Esophageal Diseases
/
Hematoma
Type of study:
Etiology study
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. chil. cir
Journal subject:
General Surgery
Year:
2012
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Los Andes/CL
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