Spontaneous Intramural Hematoma of the Esophagus

Hiller, Nurith; Zagal, Ibrahim; Hadas-Halpern, Irith
August 1999
American Journal of Gastroenterology;Aug1999, Vol. 94 Issue 8, p2282
Academic Journal
Spontaneous intramural hematoma of the esophagus (SIHE) is a rare condition, usually presenting with severe acute chest pain. Vomiting, dysphagia, odynophagia, and hematemesis may appear later. We herein report a case of this disease in a patient treated with low doses of aspirin, and review the literature for possible etiologies for this condition. In addition, we compare the utility of the various diagnostic modalities in this uncommon condition.


Related Articles

  • Spontaneous Intramural Perforation of the Esophagus: Case Report and Review of the Literature. Berliner, Leonard; Redmond, Patricia; Pachter, H. Leon // American Journal of Gastroenterology;Jun1982, Vol. 77 Issue 6, p355 

    Spontaneous intramural perforation (or hematoma) of the esophagus is an uncommon disorder. All previous cases in the literature are associated with a specific etiology other than direct esophageal instrumentation or foreign body. This case, in which no specific etiology could be identified, is...

  • Chest pain? Consider costochondritis. Silverstein, H. Robert; R.M.D. // Cortlandt Forum;3/25/95, Vol. 8 Issue 3, p60 

    Discusses the possibility of costochondritis in patients with chest pains. Diagnosis; Risks of osteoporosis; Treatment.

  • Chest pain.  // American Medical Association Family Medical Guide;2004, p296 

    A diagram depicting the causes of chest pain is presented.

  • A rare cause of acute vomiting. Al Hadi, H. I.; Ramanand, B. S. // Gut;Oct2008, Vol. 57 Issue 10, p1359 

    The article provides an answer to a question about diagnosing the cause of acute vomiting in a 39-year-old woman with severe learning disability.

  • Vomiting.  // American Medical Association Family Medical Guide;2004, p280 

    A diagram depicting the causes of vomiting is presented.

  • A rare cause of haematemesis and chest pain. Ambrose, Tim; Rajendran, Natesan; Macfaul, George // British Journal of Hospital Medicine (17508460);Oct2011, Vol. 72 Issue 10, p592 

    A case study of an 87-year-old woman with chest pain, and thirty episodes of fresh haematemesis after eating crusty bread, is presented. She underwent an oesophagogastroduodenoscopy which revealed a large dissecting intramural oesophageal haematoma. She was diagnosed with dissecting intramural...

  • The cough, that irritating cough.  // New York Amsterdam News;2/12/2009, Vol. 100 Issue 7, p32 

    The article discusses a case of chronic cough caused by reflux esophagitis. Among the actions taken by the patient to cure her condition are consulting several physicians and replacing her old mattress. The patient relates that she occasionally experienced a burning in her chest that radiated to...

  • ESTABLISHING THE DIAGNOSIS AND ETIOLOGY OF ANGINA PECTORIS. Groves, Bertron M. // Angiology;Dec1977, Vol. 28 Issue 12, p817 

    Angina pectoris can be diagnosed only by evaluation of the patient's history. Patients who describe constrictive, retrosternal chest pain precipitated by exertion or emotional upset and relieved by rest or nitroglycerin are appropriately diagnosed as having angina pectoris. The electrocardiogram...

  • A case for an in utero etiology of chronic SDH/effusions of infancy. Galaznik, J. G. // Journal of Perinatology;Mar2011, Vol. 31 Issue 3, p220 

    The authors report a case of chronic subdural hematoma/effusions (CSDHs) first suspected at 3 months of age after presenting with a seizure, and initially diagnosed as postnatal trauma. However, a close re-examination of fortuitously available serial prenatal ultrasounds clearly establishes the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics