Dissecting intramural haematoma of the oesophagus.
Dissecting intramural haematoma of the oesophagus (DIHO) is a rare condition, which has an excellent prognosis when managed conservatively. Awareness of this condition is vital to guide subsequent investigations and avoid inappropriate treatment or unnecessary surgical intervention. We describe an unusual case of massive DIHO causing left atrial compression presenting with pericarditic electrocardiographic changes and document the utility of endoscopic ultrasound/computed tomography to make the diagnosis.
Modi
Paul
P
Department of Cardiothoracic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK. paulmodi@doctors.org.uk
Edwards
Andrew
A
Fox
Bruce
B
Rahamim
Joseph
J
D000328:Adult; D019160:Endosonography / Q000379:methods; D004935:Esophageal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods