title: Esophageal Submucosal Hematoma Possibly Caused by Gastric Tube Insertion Under General Anesthesia.
abstract: We present a case of an esophageal submucosal hematoma that developed after endovascular treatment for coil embolization for an unruptured cerebral aneurysm. The patient had received antiplatelet therapy before surgery and anticoagulation therapy during surgery. The orogastric tube was removed at case end with sustained negative pressure. After surgery, the patient reported chest and back pain and was diagnosed with an esophageal submucosal hematoma. The hematoma might have been related to the gastric tube insertion or removal. Providers should keep in mind the possibility of this complication when a patient who was given antithrombotic therapy reports chest or back pain after surgery.
authors.affiliation: From the *Department of Anesthesiology and Critical Care Medicine, †Operating Rooms, and ‡Department of Neurosurgery, Kyushu University Hospital, Fukuoka, Japan; §Department of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of Medicine, Fukuoka, Japan; ‖Medical Information Center, Kyushu University Hospital, Fukuoka, Japan; and ¶Department of Neurosurgery, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Fujimoto
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Shirozu
authors.forename: Noritoshi
authors.initials: N
authors.lastname: Shirozu
authors.forename: Kozaburo
authors.initials: K
authors.lastname: Akiyoshi
authors.forename: Ataru
authors.initials: A
authors.lastname: Nishimura
authors.forename: Sho
authors.initials: S
authors.lastname: Kawasaki
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Motoyama
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kandabashi
authors.forename: Koji
authors.initials: K
authors.lastname: Iihara
authors.forename: Sumio
authors.initials: S
authors.lastname: Hoka
mesh_terms: D000368:Aged; D000768:Anesthesia, General / Q000009:adverse effects*; D000071041:Esophageal Mucosa / Q000000981:diagnostic imaging*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*