Top

General Thoracic and Cardiovascular Surgery Cases

Published in:

Open Access 01-12-2024 | Case Report

Submucosal hemorrhage of the esophagus: a case report

Authors: Risako Kojima, Shinsuke Takeno, Makoto Ikenoue, Teru Chiyotanda, Yusuke Araki, Kousei Tashiro, Fumiaki Kawano, Atsushi Nanashima, Kouji Furukawa

Published in: General Thoracic and Cardiovascular Surgery Cases | Issue 1/2024

Abstract

Background

Submucosal hemorrhage of the esophagus is relatively rare and the course of this disease remains unclear. We report a case of this disease.

Case presentation

The patient was a 68-year-old man who visited a clinic complaining of sudden-onset epigastric and back pain. He had been taking warfarin and a statin due to non-obstructive hypertrophic cardiomyopathy, right subclavian artery stenosis, and chronic atrial fibrillation. Contrast-enhanced computed tomography showed esophageal submucosal hemorrhage. Detailed endoscopic examination was difficult because of the massive hemorrhage and progressive esophageal mucosal edema. He was transferred to our hospital due to progression of anemia. Fortunately, hemorrhagic anemia showed no progression with conservative fasting therapy after admission to our hospital. Esophageal mucosa over the submucosal hemorrhage detached and regenerative tissue was observed on endoscopic examination 1 week later.

Conclusions

Esophageal submucosal hemorrhage should be included among the differential diagnoses for patients presenting with chest and back pain.

Tong M, Hung W-K, Law S, Wong K-H, Kwok K-F, Wong J. Esophageal hematoma. Dis Esophagus. 2006;19:200–2.CrossRefPubMed

Hong M, Warum D, Karamanian A. Spontaneous intramural esophageal hematoma (IEH) secondary to anticoagulation and/or thrombolysis therapy in the setting of a pulmonary embolism: a case report. Radiology Case. 2013;7(2):1–10.CrossRefPubMedPubMedCentral

Folan RD, Smith RE, Head JM. Esophageal hematoma and tear requiring emergency surgical intervention: a case report and literature review. Dig Dis Sci. 1992;37(12):1918–21.CrossRefPubMed

Furukawa H, Hara T, Taniguchi T, Tetsu O. A case of spontaneous intramural hematoma of the esophagus. Gastroenterol Jpn. 1993;28(1):81–7.CrossRefPubMed

Williams B. Oesophageal laceration following remote trauma. Brit J Radiol. 1957;30:666–8.CrossRefPubMed

Yamada T, Motomura Y, Hiraoka E, Miyagaki A, Sato J. Nasogastric tubes can cause intramural hematoma oh the esophagus. Am J Case Rep. 2019;20:224–7.CrossRefPubMedPubMedCentral

Oba J, Usuda D, Tsuge S, Sakurai R, Kawai K, Matsubara S, et al. Hemorrhagic shock due to submucosal esophageal hematoma along with Mallory-Weiss syndrome: a case report. World J Clin Cases. 2022;10(27):9911–20.CrossRefPubMedPubMedCentral

Oe S, Watanabe T, Kume K, Shibata M, Hiura M, Yoshikawa I, et al. A case of idiopathic gastroesophageal submucosal hematoma and its disappearance observed by endoscopy. J UOEH. 2014;36(2):123–8.CrossRefPubMed

Jaejun Shim, Jae Young Jang, Young Hwangbo, Seok Ho Dong, Joo Hyeong Oh, Hyo Jong Kim, et al. Recurrent massive bleeding due to dissecting intramural hematoma of the esophagus: treatment with therapeutic angiography. World J Gastroenterol 2009; 15(41): 5232–5235

10.

Mina F.G. Isaac, Chi Long Ho, Sum Leong. Life-threatening bleeding from dissecting intramural hematoma of esophagus (IHE) treated by trans arterial embolization. Radiology Case Reports 2021; 16: 2474–2477

11.

Gao F, Zhang T, Guo X, Zhe Su. Embolization of the esophageal branch of intercostal artery for treatment of spontaneous intramural hematoma of the esophagus: a case description. Quant Imaging Med Surg. 2023;13(10):7417–22.CrossRefPubMedPubMedCentral

12.

E. Cummins, M. Sharkey, T. Eastin, E. Adkins. A rare cause for acute chest pain in the emergency setting that is hard to swallow. Case Reports in Emergency Medicine 2013, Article ID 646342, 4 pages

Title: Submucosal hemorrhage of the esophagus: a case report
Authors: Risako Kojima
Shinsuke Takeno
Makoto Ikenoue
Teru Chiyotanda
Yusuke Araki
Kousei Tashiro
Fumiaki Kawano
Atsushi Nanashima
Kouji Furukawa
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: General Thoracic and Cardiovascular Surgery Cases / Issue 1/2024
Electronic ISSN: 2731-6203
DOI: https://doi.org/10.1186/s44215-024-00175-1

Simultaneous transmediastinal esophagectomy and thoracoscopic lobectomy for synchronous double cancers of the esophagus and lung: a case report

Open Access
Esophagus Resection
Case Report

How to diagnose mediastinal angiosarcoma

Open Access
Hemangiosarcoma
Case Study

Redo isolated tricuspid valve replacement in a patient with isolated persistent left superior vena cava: a case report

Open Access
Case Report

Surgical management of pseudoaneurysm after subclavian artery-to-descending aorta bypass in an adult patient with aortic coarctation

Open Access
Aortic Coarctation
Case Report

Totally endoscopic robotic repair of coronary sinus atrial septal defect with concomitant tricuspid annuloplasty

Open Access
Case Report

Correction: Successful surgical treatment for primary cardiac angiosarcoma: a case report

Open Access
Correction

Keynote series | Spotlight on menopause

Menopause
Video Series

Menopause can have a significant impact on the body, with effects ranging beyond the endocrine and reproductive systems. Learn about the broader systemic effects of menopause, so you can help patients in your clinics through the transition.

Launching: Thursday 12th December 2024

Prof. Martha Hickey

Dr. Claudia Barth

Dr. Samar El Khoudary

Developed by: Springer Medicine

A quick guide to ECGs

Electrocardiography
Training Course

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date.

PD Dr. Carsten W. Israel

Developed by: Springer Medizin

Start the cases

Keynote webinar | Spotlight on medication adherence

Webinar | 27-06-2024 | 18:00 (CEST)

Medication non-adherence is a major barrier to effective healthcare delivery; half of all patients do not follow their doctor’s recommendations or treatment plan.

Our experts explain the fundamentals with a practical discussion of how to manage non-adherence in two common scenarios: hypertension and asthma control.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan