MEHMET HADİ YAŞA, SONGÜL ÇİLDAĞ, Fisun TAŞKIN, Serdar ŞEN, Vahit YÜKSELEN, CAN ZAFER KARAMAN, Ali Önder KARAOĞLU

Kumadine bağlı olarak gelişen intramural özofagus hematomu: Olgu sunumu

İntramural özofagus hematomu, özofagusun nadir görülen hastalıklarından birisidir. Odinofaji veya disfaji ile birlikte hematemez görülmesi tipiktir ancak her vakada görülmez. Semptomlar bazen nonspesifiktir. Genellikle özofagogastroskopi ve tomografi ile tanı konulur. Bu çalışmada, kumadine bağlı olarak intramural özofagus hematomu gelişen ve konservatif tedavi ile düzelen 63 yaşında bir erkek hasta sunularak bu konudaki literatür gözden geçirilmiştir.

Anahtar Kelimeler:

İntramural özofagus hematomu, kumadin

İntramural esophageal hematoma related to coumadin: Case report

Intramural esophageal hematoma is a rare form of esophageal disease. The typical features, chest pain with odynophagia or dysphagia and hematemesis, are usually present but not always elicited at presentation. Sometimes the presenting symptoms are nonspecific. Esophagogastroscopy and computed tomography scan are usually needed to establish the diagnosis of intramural esophageal hematoma. In this study, we report the case of a 63-year-old man who developed an intramural esophageal hematoma related with coumadin and who was successfully treated with conservative measures, and we review the available literature.

Keywords:

Intramural esophageal hematoma, coumadin,

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Freeman ALL, Dickinson RJ. Spontaneous intramural oesophageal haematoma. Clin Radiol 1988; 39: 628-34.
Williams B. Case report. Oesophageal laceration following remote trouma. Br J Radiol. 1997; 30: 666-8.
Hulyakkar AR, Ayd JD. Low risk of gastoesophageal injury associ- ated with transesophageal echocardiography during cardiac sur- gery. J Cardiothor Vasc Anesth 1993; 7: 175-7.
Joffe N, Millan VG. Postemetic dissecting intramural hematoma of the esophagus. Radiology 1970; 95: 379-80.
Mossiman F, Bronnimann B. İntramural haematoma of the oesap- hagus complicating sclerotherapy for varices. Gut 1994; 35: 130-1.
Jones DB, Frost RA, Goodaere R. İntramural hemetoma of the esap- hagus: a complication of endoscopic injection sclerotherapy. Gast- rointest Endosc 1986; 32: 239-40.
Biagi G, Capelli G, Propersi L, et all. Spontaneous intramural oe- sophageal haematoma of the oesophagus. Thorax 1993; 3: 394-5.
Hanson JM, Neilson D, Pettit SH.Intramural esophageal dissecti- on.Thorax 1991; 46: 525-7.
Sen A, Lea RE. Spontaneous oesophageal haematoma: A review of the difficult diagnosis. Ann R Coll Surg Engl 1993; 75: 293-5.
Spiller RC, Catto JV, Kane SP. Spontaneous dissecting intramural haematoma of the esophagus: a rare cause of haematemesis and dysphagia. Endoscopy 1981; 13: 128-30
Murata N, Kuroda T, Fujino S, et all. Submucosal dissection of the oesophagus: a case report. Endoscopy 1991; 23: 95-7.
Ackert JJ, Sherman A, Lustbader IJ, et all. Spontaneous intamural rupture of the oesaphagus. Gut 1990; 31: 345-9.
Herbetko J, Brunton FJ. Oesaphageal haematoma : report of three cases. Clin Radiol 1988; 39: 462-3.
Clark W, Cook IJ. Spontaneous intramural haematoma of the oesap- hagus : radiologic recognition. Australas Radiol 1996; 40: 269-72
Hiller N, Zagal I, Hadas-Halpern I. Spontaneous intramural hema- toma of the esophagus. Am J Gastroenterol 1999; 94: 2282-4.
Hsu CC, Changehien CS. Endoscopic and radiological features of intramural esophageal dissection. Endoscopy 2001; 33: 379-81.
Flippini CD, Schoch O, et all. Intramural rupture and ıntramural hematoma of the esophagus: 3 case reports and literature review. Schweiz Med Wochenschr 1992; 122: 416-23.
Shay SS, Berendson RA, Johnson LF. Esophageal hematoma: four new cases, a review and proposed etiology. Dig Dis Sci 1981; 26: 1019-24.