title: Is there a place for video-associated thoracoscopy for dissecting intramural haematoma of the oesophagus?
abstract: Spontaneous haematoma of the oesophagus is a rare cause of chest pain. We report the case of a 63-year-old female in whom spontaneous rupture of the oesophagus was suspected, but who was subsequently, found to have a dissecting intramural haematoma of the oesophagus. She successfully underwent mediastinal and thoracic drainage by right video-assisted thoracoscopy. Although conservative treatment is widely described in the literature, surgical treatment by right video-associated thoracoscopy may be a suitable alternative if there is a diagnostic doubt.
authors.affiliation: Department of Thoracic Surgery, Haut Lévêque Hospital, Bordeaux University Hospital and Victor Ségalen Bordeaux 2 University, Avenue de Magellan, 33604 Pessac, Bordeaux, France. matthieu.thumerel@chu-bordeaux.fr
authors.forename: Matthieu
authors.initials: M
authors.lastname: Thumerel
authors.forename: Arnaud
authors.initials: A
authors.lastname: Rodriguez
authors.forename: Guillaume
authors.initials: G
authors.lastname: Lebreton
authors.forename: Jacques
authors.initials: J
authors.lastname: Jougon
mesh_terms: D004210:Dissection / Q000379:methods*; D004322:Drainage; D004935:Esophageal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome