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Case Reports
. 1988 Jan;3(1):92-4.
doi: 10.3904/kjim.1988.3.1.92.

Intramural hematoma of the esophagus: unusual complication of esophageal variceal sclerotherapy

Case Reports

Intramural hematoma of the esophagus: unusual complication of esophageal variceal sclerotherapy

Y T Bak et al. Korean J Intern Med. 1988 Jan.

Abstract

The authors report a case of esophageal hematoma in a 35-year-old man after esophageal variceal sclerotherapy with intravariceal injection of 5% ethanolamine oleate. A huge submucosal hematoma of the esophageal wall was demonstrated endoscopically and radiologically. Resolution occurred spontaneously after conservative treatment.

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Figures

Fig. 1.
Fig. 1.
Presclerotherapy endoscopic finding showing slightly bluish beaded esophageal varices with no sign of redness on the distal esophagus.
Fig. 2.
Fig. 2.
Endoscopic finding on the second day after the third session of sclerotherapy showing smooth mucosal bulging with nearly total esophageal luminal obstruction and retained previously taken medication.
Fig. 3.
Fig. 3.
Esophagogram showing large longitudinal filling defect in the lower two thirds of the esophagus.
Fig. 4.
Fig. 4.
Endoscopic finding on the 14th day after the third sesion of sclerotherapy showing a longitudinal mucosal defect on the site of previously noted hematoma.

References

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    1. Benjamin B, Hanks TJ. Submucosal dissection of the oesophagus due to hemaorrhage: a new radiographic finding. J Laryngol Otol. 1965;79:1032.
    1. Williams B. Oesophageal laceration following remote trauma. Br J Radiol. 1957;30:666. - PubMed

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