RESUMO
The following case describes a 29-year-old previously well gentleman who presented with an acute onset of chest pain, dysphagia, odynophagia and vomiting without haematemesis. An oesophageal lesion was visualised on CT angiography and further investigation via oesophogastroduodenoscopy (OGD) diagnosed a spontaneous intramural oesophageal haematoma as the cause of his symptomatology. Conservative medical management in the form of triple therapy and softened diet was well tolerated and a follow-up OGD at 6 weeks after discharge from hospital showed spontaneous resolution of the haematoma.
Assuntos
Dor no Peito/etiologia , Doenças do Esôfago/complicações , Doenças do Esôfago/diagnóstico , Hematoma/complicações , Hematoma/diagnóstico , Adulto , Analgésicos/uso terapêutico , Antibacterianos/uso terapêutico , Transtornos de Deglutição/etiologia , Diagnóstico Diferencial , Dieta , Endoscopia do Sistema Digestório , Doenças do Esôfago/terapia , Hematoma/terapia , Humanos , Masculino , Inibidores da Bomba de Prótons/uso terapêutico , Descanso , Vômito/etiologiaRESUMO
Visceral artery aneurysm is a rare but clinically important form of vascular pathology, showing a high mortality rate in emergency surgery. Most often these aneurysms cause no symptoms and are therefore incidental findings. Reports on ileocolic artery aneurysms are rare and often anecdotal. Therapeutic procedures can be performed either surgically or by interventional therapeutic techniques. This article presents a case of ruptured ileocolic artery aneurysm and reviews the literature on this topic.
