1/23. Dissecting intramural haematoma of the oesophagus.The largest series of patients (n = 10) with dissecting intramural haematoma of the oesophagus is described. The typical features, chest pain with odynophagia or dysphagia and minor haematemesis are usually present but not always elicited at presentation. If elicited, these symptoms should suggest the diagnosis and avoid mistaken attribution to a cardiac origin for the pain. precipitating factors such as a forced Valsalva manoeuvre cannot be identified in at least half the cases. Early endoscopy is safe, and confirms the diagnosis when an haematoma within the oesophageal wall or the later appearances of a longitudinal ulcer are seen. Dissecting intramural haematoma of the oesophagus has an excellent prognosis when managed conservatively.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/23. Spontaneous intramural dissection of the oesophagus.Spontaneous intramural dissection or intramural haematoma of the oesophagus is an unusual condition and has been recognised as a separate clinical entity. The commonest presenting symptoms are chest pain, dysphagia and haematemesis usually affecting women in their sixties and seventies. Conservative management is usually thought to be adequate. We present a case of spontaneous intramural dissection in an elderly male who did not respond to conservative management and died.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
3/23. Two cases of submucosal haematoma of the oesophagus and Mallory-Weiss tear.Submucosal haematoma of the oesophagus is an uncommon condition which may be under-recognised. Presentation may be with chest pain, dysphagia or haematemesis. endoscopy, CT scan, barium meal or a combination of these modalities makes the diagnosis. Most patients make a full recovery.- - - - - - - - - - ranking = 0.71428571428571keywords = haematoma (Clic here for more details about this article) |
4/23. Acute onset dysphagia associated with an intramural oesophageal haematoma in acquired haemophilia.A 78-year-old man presented with a 5-day history of epistaxis and spontaneous bruising, and a 2-day history of acute dysphagia. barium swallow, computerized tomography scan of the chest and upper gastrointestinal endoscopy were suggestive of an upper oesophageal tumour, although biopsies failed to confirm this. Investigations including a raised activated partial thromboplastin time led to the detection of an inhibitor causing functional factor viii deficiency. Following treatment with intravenous human immunoglobulin, oral prednisolone and oral cyclophosphamide, the patient's dysphagia resolved. There was a resolution of the findings seen at the initial endoscopy and on computerized tomography scan of the chest, consistent with an oesophageal haematoma. Follow-up endoscopy failed to detect recurrence or an aetiological factor.- - - - - - - - - - ranking = 0.71428571428571keywords = haematoma (Clic here for more details about this article) |
5/23. Oesophageal dissection: contrast studies and CT in diagnosis and monitoring.Oesophageal dissection with intramural haematoma formation can be difficult to diagnose. endoscopy can be diagnostic, but imaging techniques including computed tomography and contrast swallows can both accurately demonstrate a dissection and exclude many other pathologies. A case utilizing both imaging modalities to diagnose and monitor the condition in a patient with a bleeding disorder is presented.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
6/23. Oesophageal dissection after thrombolytic treatment for myocardial infarction.A 62 year old woman admitted with a history suggesting acute myocardial infarction had thrombolytic treatment with anisoylated plasminogen-streptokinase activator complex, which resulted in submucosal haemorrhage in the oesophagus; this caused dissection of the wall of the oesophagus and complete dysphagia. The haematoma resolved spontaneously, leaving behind a diverticulum, with reduced peristalsis and delayed emptying but no obstruction.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
7/23. Spontaneous haematoma of the oesophagus.Haematoma of the oesophagus is a rare occurrence and is usually in response to trauma, retching or vomiting. We report a case of spontaneous haematoma of the oesophagus that presented with only bruising over the chest. It resolved completely with conservative management. We review the literature, common causes, the differential diagnosis and the management of oesophageal haematoma.- - - - - - - - - - ranking = 0.85714285714286keywords = haematoma (Clic here for more details about this article) |
8/23. Oesophageal haematoma and associated Mallory-Weiss tear.Intramural oesophageal haematoma is a rare condition that may present as vomiting or haematemesis. Mallory-Weiss tear has been proposed as a possible aetiology but the evidence to support this is circumstantial. A case of oesophageal haematoma associated with evidence of Mallory-Weiss tear on endoscopy that helps to support this hypothesis is presented.- - - - - - - - - - ranking = 0.85714285714286keywords = haematoma (Clic here for more details about this article) |
9/23. Dissecting intramural haematoma of the oesophagus.Dissecting intramural haematoma of the oesophagus (DIHO) is a rare condition, which has an excellent prognosis when managed conservatively. awareness of this condition is vital to guide subsequent investigations and avoid inappropriate treatment or unnecessary surgical intervention. We describe an unusual case of massive DIHO causing left atrial compression presenting with pericarditic electrocardiographic changes and document the utility of endoscopic ultrasound/computed tomography to make the diagnosis.- - - - - - - - - - ranking = 0.71428571428571keywords = haematoma (Clic here for more details about this article) |
10/23. Intramural oesophageal haematoma complicating anticoagulant therapy.A case of intramural oesophageal haematoma complicating anticoagulant therapy is described. Severe chest pain and complete obstruction of the oesophagus resulted. Early fibreoptic endoscopy facilitated the diagnosis. The condition resolved spontaneously with conservative management. A similar case has not been previously reported.- - - - - - - - - - ranking = 0.71428571428571keywords = haematoma (Clic here for more details about this article) |
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