Esophageal Apoplexy.
Oesophageal apoplexy or intramural haematoma of the oesophagus (IHE) is a rare condition with a pattern of presentation that can mimic sinister pathologies. Diagnosis requires a high index of suspicion, and the exclusion of an oesophageal perforation or oesophageal malignancy is important. Investigations include computer topography (CT) and contrast swallow studies as well as a gastroscopy. Management is mainly supportive with resolution of symptoms typically occurring rapidly. We present two cases of this rare condition, with accompanying images.
Department of Surgery (Upper Gastrointestinal and Hepatobiliary Unit), St Vincent's Hospital, Fitzroy, Victoria, 3065, Australia. mlnchng@gmail.com.
Melanie Danielle
MD
Crispin
Department of Surgery (Upper Gastrointestinal and Hepatobiliary Unit), St Vincent's Hospital, Fitzroy, Victoria, 3065, Australia.
Kevin J
KJ
Chan
Department of Surgery (Upper Gastrointestinal and Hepatobiliary Unit), Royal Melbourne Hospital, Parkville, Victoria, 3050, Australia.
Nicole
N
Winter
Department of Surgery (Upper Gastrointestinal and Hepatobiliary Unit), St Vincent's Hospital, Fitzroy, Victoria, 3065, Australia.
Michael
M
Hii
D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000000981:diagnostic imaging*; D004939:Esophageal Perforation / Q000175:diagnosis; D005260:Female; D005773:Gastroscopy; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D014057:Tomography, X-Ray Computed
Boerhaave syndrome; Esophageal apoplexy; Esophageal haematoma; Esophageal perforation; Intramural hematoma