Complete esophageal obstruction secondary to dissecting intramural hematoma after endoscopic variceal sclerotherapy.
Endoscopic variceal sclerotherapy (EVS) is an accepted alternative to surgery in many patients with bleeding esophageal varices. Esophageal ulceration is a common sequelae of EVS with chest pain, stricture, and perforation occurring less frequently. We present a patient with Laennec's cirrhosis and coagulopathy who developed an obstructing esophageal hematoma caused by submucosal dissection after two EVS treatments.
Low
D E
DE
Virginia Mason Medical Center, Department of Gastroenterology, Seattle, Washington.
Patterson
D J
DJ
D000328:Adult; D004935:Esophageal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D004945:Esophagoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D011859:Radiography; D012597:Sclerosing Solutions / Q000009:adverse effects*
D012597:Sclerosing Solutions