A case of giant esophageal intramural hematoma and its disappearance observed by transthoracic echocardiography

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  • TABATA Tsuyoshi
    Department of Clinical Physiology, Toho University Medical Center Sakura Hospital
  • HOSHI Hiromi
    Department of Clinical Physiology, Toho University Medical Center Sakura Hospital
  • HASUNUMA Erika
    Department of Clinical Physiology, Toho University Medical Center Sakura Hospital
  • TAKAHASHI Noriko
    Department of Clinical Physiology, Toho University Medical Center Sakura Hospital
  • INAOKA Tsutomu
    Department of Radiology, Toho University Medical Center Sakura Hospital
  • TOMARU Takanobu
    Department of Cardiovascular Center, Toho University Medical Center Sakura Hospital

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Other Title
  • 心エコー図検査を利用して消褪を観察し得た巨大食道粘膜下血腫の1例

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Abstract

Esophageal intramural hematoma is a rare disease with a fairly good outcome. We report a case of a 47-year-old woman with osteogenesis imperfecta who was hospitalized due to stomachache and hematemesis. Transthoracic echocardiogram revealed an abnormal mass posterior to the left atrium. Chest CT scan showed extensive swelling of the wall of the whole esophagus. Upper gastrointestinal endoscopy revealed a very large and dark red mass in the cardiac region of the stomach that extended from the upper esophagus. She was diagnosed with esophageal intramural hematoma and made a smooth recovery with conservative therapy. The patient’s symptoms had resolved by the 7th hospital day, and follow-up transthoracic echocardiogram and CT scan revealed complete resolution of the hematoma. A 2nd esophagoscopy performed 14 days later found complete disappearance of the hematoma and only an ulcer scar in the esophagus. In this case, we were able to follow the process of hematoma disappearance by transthoracic echocardiogram.

Journal

  • Choonpa Igaku

    Choonpa Igaku 44 (2), 175-178, 2017

    The Japan Society of Ultrasonics in Medicine

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