Hematoma submucoso del esófago: caso clínico / Intramural hematoma of the esophagus: case report
Rev. méd. Chile
;
118(11): 1258-61, nov. 1990.
Article
Dans Espagnol
| LILACS
| ID: lil-96832
RESUMO
Spontaneous intramural hematoma of the esophagus (SIHE) is a rara condition usually affecting middle-aged or elderly women. It presents as acute sbusternal or epigastric pain, typically accompanied by dysphagia or hematemesis. SIHE is not usually associated with vomiting, and is therefore clearly distinguishable from hematogenic esophageal disorders, such as the Mallory Weiss lesion and the Boerhaave syndrome. The pathogenesis is in dispute. We present a case of SHIE without a discernible muscosal breach, suggesting a primary intramural bleed as the intiating event. Its diagnosis relies on the history and a barium swallow. Instrumentation can result in further damage to the esophagus. Treatment is conservative and results in resolution of the hematoma and return to normal swallowing. A favorable prognosis is the rule
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Indice:
LILAS (Amériques)
Sujet Principal:
Oesophage
/
Hématome
/
Muqueuse
Type d'étude:
Étude pronostique
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
1990
Type:
Article
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