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.
Jishi
F
F
Wrexham Maelor Hospital, Clwyd.
Sissons
C E
CE
Silverstone
E J
EJ
Coakley
J F
JF
Fraser
F
F
D016255:Anistreplase / Q000009:adverse effects*; D003680:Deglutition Disorders / Q000139:chemically induced; D004936:Diverticulum, Esophageal / Q000139:chemically induced; D004935:Esophageal Diseases / Q000139:chemically induced*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
D016255:Anistreplase