title: Spontaneous intramural esophageal hematoma.
abstract: We report the case of an 80-year-old woman who developed a spontaneous intramural esophageal hematoma and review the available literature. Spontaneous intramural esophageal hematoma (SIOH) is a rare but important condition. Because the cardinal symptom is severe chest pain, the condition is often initially misdiagnosed as an acute cardiac event or aortic dissection. Increased awareness of SIOH may prevent misdiagnosis on the basis of endoscopic and radiological appearances.
authors.affiliation: Department of Surgery, Leicester General Hospital, Leicester, England. sarahthomasset@hotmail.com
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Thomasset
authors.forename: David P
authors.initials: DP
authors.lastname: Berry
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016099:Endoscopy, Gastrointestinal; D004935:Esophageal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000000981:diagnostic imaging; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed