Conservative management of a large oesophageal haematoma as a complication of systemic thrombolysis.
An acute coronary syndrome patient was treated with tissue plasminogen activator to produce thrombolysis. Six hours post-lysis, haematemesis occurred. Computed tomography (CT) revealed a large haematoma around the lower oesophagus and endoscopy showed a tear in the lower end of the oesophagus. This case represents an unusual complication of anticoagulation and thrombolysis associated with the management of acute coronary syndrome. Conservative management was successful.
Alizzi
Ali M
AM
Department of Cardiothoracic Surgery, The Royal Hobart Hospital, GPO Box 1061L, Hobart, Tasmania, Australia. alializzi@hotmail.com
Sharma
Rajiv
R
Endara
Santiago A
SA
Lim
Kiam-Khiang
KK
Bidstrup
Benjamin P
BP