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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

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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.
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Metadata
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

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