title: Spontaneous esophageal hematoma in a patient with atrial fibrillation.
abstract: We report a case of a spontaneous esophageal hematoma in an anticoagulated patient with atrial fibrillation previously complicated by a cerebrovascular accident. A multidisciplinary discussion resulted in holding of anticoagulation until the esophageal hematoma resolved. The patient was managed nonoperatively and discharged, but returned with a new neurologic deficit 3 weeks later. Aspirin treatment was resumed. After complete resolution of hematoma on outpatient scans, warfarin treatment was restarted. The challenges of managing an esophageal hematoma in a patient requiring anticoagulation are discussed.
authors: Department of Surgery, University of Rochester, Rochester, NY 14642-8410, USA.
authors: Roseanna
authors: R
authors: Guzman
authors: Linda
authors: L
authors: Ding
authors: Thomas J
authors: TJ
authors: Watson
authors: Susan K
authors: SK
authors: Hobbs
authors: Virginia R
authors: VR
authors: Litle
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects* / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications*; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D004935:Esophageal Diseases / Q000139:chemically induced* / Q000175:diagnosis; D005260:Female; D006406:Hematoma / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants