title: Dissecting intramural hematoma of esophagus after thrombolytic therapy: a case report.
abstract: Esophageal hematoma is a relatively rare event. We report a case of severe chest pain associated with myocardial infarction and recurrent chest pain after administration of a thrombolytic agent. The chest pain was different from the presenting symptom and accompanied by 2 episodes of hematemesis. Esophageal hematoma was confirmed after endoscopy and computed tomography. Esophageal hematoma is a relatively rare event after thrombolytic therapy.
authors.affiliation: Department of Cardiology, Iran University of Medical Sciences, Rasool Akram General Hospital, Tehran, Iran.
authors.forename: Shokufeh
authors.initials: S
authors.lastname: Hajsadeghi
authors.affiliation: Department of Gastroenterology, Colorectal Research Center, Iran University of Medical Sciences, Rasool Akram General Hospital, Tehran, Iran.
authors.forename: Shahram
authors.initials: S
authors.lastname: Agah
authors.affiliation: Department of Internal Medicine, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Aida
authors.initials: A
authors.lastname: Iranpour
authors.affiliation: Department of Internal Medicine, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Haleh
authors.initials: H
authors.lastname: Chehrehgosha
authors.affiliation: Department of Internal Medicine, Tehran University of Medical Sciences, Tehran, Iran ircms@yahoo.com.
authors.forename: Amir Hossein
authors.initials: AH
authors.lastname: Ghanooni
authors.affiliation: Department of Gastroenterology, Iran University of Medical Sciences, Rasool Akram General Hospital, Tehran, Iran.
authors.forename: Foroogh
authors.initials: F
authors.lastname: Forghani
mesh_terms: D002637:Chest Pain / Q000139:chemically induced; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D004945:Esophagoscopy; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D006396:Hematemesis / Q000139:chemically induced; D006406:Hematoma / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy*; D011237:Predictive Value of Tests; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
chemical_list: D005343:Fibrinolytic Agents
keywords: Esophageal diseases; gastrointestinal hemorrhage; hematoma; mallory-Weiss syndrome; rupture; spontaneous