Recurrent massive bleeding due to dissecting intramural hematoma of the esophagus: treatment with therapeutic angiography.
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.
Shim
Jaejun
J
Department of Internal Medicine, Kyung Hee University School of Medicine, Dongdaemoon-gu, Seoul 130-702, South Korea.
Jang
Jae Young
JY
Hwangbo
Young
Y
Dong
Seok Ho
SH
Oh
Joo Hyeong
JH
Kim
Hyo Jong
HJ
Kim
Byung-Ho
BH
Chang
Young Woon
YW
Chang
Rin
R
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