title: Recurrent massive bleeding due to dissecting intramural hematoma of the esophagus: treatment with therapeutic angiography.
abstract: Spontaneous or traumatic intramural bleeding of the esophagus, which is often associated with overlying mucosal dissection, constitutes a rare spectrum of esophageal injury called dissecting intramural hematoma of the esophagus (DIHE). Chest pain, swallowing difficulty, and minor hematemesis are common, which resolve spontaneously in most cases. This case report describes a patient with spontaneous DIHE with recurrent massive bleeding which required critical management and highlights a potential role for therapeutic angiography as an alternative to surgery.
authors.affiliation: Department of Internal Medicine, Kyung Hee University School of Medicine, Dongdaemoon-gu, Seoul 130-702, South Korea.
authors.forename: Jaejun
authors.initials: J
authors.lastname: Shim
authors.forename: Jae Young
authors.initials: JY
authors.lastname: Jang
authors.forename: Young
authors.initials: Y
authors.lastname: Hwangbo
authors.forename: Seok Ho
authors.initials: SH
authors.lastname: Dong
authors.forename: Joo Hyeong
authors.initials: JH
authors.lastname: Oh
authors.forename: Hyo Jong
authors.initials: HJ
authors.lastname: Kim
authors.forename: Byung-Ho
authors.initials: BH
authors.lastname: Kim
authors.forename: Young Woon
authors.initials: YW
authors.lastname: Chang
authors.forename: Rin
authors.initials: R
authors.lastname: Chang
mesh_terms: D000792:Angiography / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D004935:Esophageal Diseases / Q000150:complications*; D006406:Hematoma / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D016896:Treatment Outcome