Spontaneous intramural oesophageal haematoma: an unusual cause of chest pain.
The following case describes a 29-year-old previously well gentleman who presented with an acute onset of chest pain, dysphagia, odynophagia and vomiting without haematemesis. An oesophageal lesion was visualised on CT angiography and further investigation via oesophogastroduodenoscopy (OGD) diagnosed a spontaneous intramural oesophageal haematoma as the cause of his symptomatology. Conservative medical management in the form of triple therapy and softened diet was well tolerated and a follow-up OGD at 6 weeks after discharge from hospital showed spontaneous resolution of the haematoma.
General Surgery Department, Sligo General Hospital, Sligo, Ireland. lizconcannon@gmail.com
Elizabeth Sarah
ES
Concannon
Faraz
F
Khan
Timothy
T
O'Hanrahan
D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002637:Chest Pain / Q000209:etiology*; D003680:Deglutition Disorders / Q000209:etiology; D003937:Diagnosis, Differential; D004032:Diet; D016145:Endoscopy, Digestive System; D004935:Esophageal Diseases / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D012146:Rest; D014839:Vomiting / Q000209:etiology
D000700:Analgesics; D000900:Anti-Bacterial Agents; D054328:Proton Pump Inhibitors