Spontaneous intramural haematoma of the oesophagus: CT and MRI appearances.
A 64-year-old man with history of ischaemic heart disease and coronary artery bypass graft surgery, but no history of peptic ulcer or liver disease, presented with retrosternal pain and coffee-ground vomitus. Endoscopy revealed a long column of bluish discolouration with normal mucosa interpreted as a grade IV oesophageal varix. Computed tomography showed a non-enhancing low-density submucosal columnar lesion in the mid- and lower oesophagus consistent with a submucosal haematoma. This resolved on follow-up at 10 days. The magnetic resonance features of intermediate signal intensity on T1-weighted images and hyperintense signal on T2-weighted images of this lesion are also highlighted.
Yuen
E H
EH
Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Yang
W T
WT
Lam
W W
WW
Kew
J
J
Metreweli
C
C
D004935:Esophageal Diseases / Q000175:diagnosis*; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed