Open AccessRecurrent massive bleeding due to dissecting intramuralhematoma of the esophagus: Treatment with therapeuticangiography
Author(s) -
JaeJun Shim,
Jae Young Jang,
Young Hwangbo,
Seok Ho Dong,
Joo Hyeong Oh,
Hyo Jong Kim,
Byung-Ho Kim,
Young Woon Chang,
Rin Chang
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.5232
Subject(s) - medicine , esophagus , swallowing , surgery , chest pain , dissection (medical) , hematoma , dysphagia , upper gastrointestinal bleeding , endoscopy
Spontaneous or traumatic intramural bleeding of the esophagus, which is often associated with overlying mucosal dissection, constitutes a rare spectrum of esophageal injury called dissecting intramural hematoma of the esophagus (DIHE). Chest pain, swallowing difficulty, and minor hematemesis are common, which resolve spontaneously in most cases. This case report describes a patient with spontaneous DIHE with recurrent massive bleeding which required critical management and highlights a potential role for therapeutic angiography as an alternative to surgery.