Transthoracic Echocardiographic Detection, Differential Diagnosis, and Follow-Up of Esophageal Hematoma

다국어 초록 (Multilingual Abstract)

Esophageal hematoma is a rare form of esophageal injury. It may occur spontaneously, or in asociation with di-rect esophageal damage or a bleding diathesis. Endoscopy and computed tomography are generaly necesary for the establishment of a diagnosis. In this report, we present a case of esophageal hematoma that was discovered via a bedside transthoracic echocardiography. The echocardiography was conducted to evaluate an unexplained shock in a critically ill-patient. After conservative treatment, complete resolution of the esophageal hematoma was documented by a 7-day short-term follow-knowledge, this is the first case report regarding transthoracic echocardiographic detection, diferential diagnosis, and follow-up for esophageal hematoma. (Korean Circ J 2007 ;37:666-670)

참고문헌 (Reference)

1 Kim TW, "Usefulnes of echocardio-graphy in the evaluation of paracardiac masses" 26 : 803-812, 1996

2 Herbetko J, "Spontaneous intramural haematoma of the oesophagus:appearance on computed tomography" 44 : 327-328, 1991

3 Lu MS, "Spontaneous intramural esophageal hematoma" 78 : 343-345, 2004

4 Kwak MH, "Role of echocardiography as a screening test in patients with suspected pulmonary embolism" 31 : 500-506, 2001

5 Mosimann F, "Intramural haematoma of the oes-ophagus complicating sclerotherapy for varices" 35 : 130-131, 1994

6 Enns R, "Intramural esophageal hema-670· Transthoracic Echocardiography in Esophageal Hematoma toma:a diagnostic dilema" 51 : 757-759, 20

7 Phan GQ, "Intramural esophageal disection" 63 : 1785-1786, 1997

8 Criblez D, "Intra-mural rupture and intramural hematoma of the esophagus:3 case reports and literature review" 122 : 416-423, 1992

9 Hunter TB, "Food laceration of the eso-phagus:the taco tear" 140 : 503-504, 1983

10 Geller A, "Esophagogastric hematoma mimicking a malignant neoplasm:clinical manifestations,diagnosis,and treatment" 73 : 342-345, 1998

11 Ashman FC, "Esophageal hema-toma associated with thrombocytopenia" 3 : 115-118, 1978

12 Cullen SN, "Dissecting intramural haematoma of the oesophagus exacerbated by heparin therapy" 92 : 123-124, 1999

13 Reiter C, "Dissecting esophageal hematoma folowing thoracic aorta rupture" 88 : 322-326, 1985

14 Culen SN, "Disecting intramural haematoma of the oesophagus" 12 : 151-162, 2000

15 Williams B, "Case report:oesophageal laceration folowing re-mote trauma" 30 : 666-668, 1957

16 Yamashita K, "A case of intramural esophageal hematoma:complication of an-ticoagulation with heparin" 52 : 559-561, 2000