title: Complete esophageal obstruction secondary to dissecting intramural hematoma after endoscopic variceal sclerotherapy.
abstract: 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.
authors.affiliation: Virginia Mason Medical Center, Department of Gastroenterology, Seattle, Washington.
authors.forename: D E
authors.initials: DE
authors.lastname: Low
authors.forename: D J
authors.initials: DJ
authors.lastname: Patterson
mesh_terms: 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*
chemical_list: D012597:Sclerosing Solutions