Intragumtornchai T, Israsena S, Benjacholamard V, Lerdlum S, Benjavongkulchai S
Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bankok, Thailand.
J Clin Gastroenterol. 1992 Mar;14(2):152-6. doi: 10.1097/00004836-199203000-00017.
A spontaneous intramural esophagogastric hematoma developed in a patient with hemophilia A. The hematoma did not resolve after antihemophiliac factor replacement but ruptured into the stomach causing massive gastrointestinal bleeding. The associated enlarged right tracheobronchial gland and the histopathological finding of fibrocaseating granuloma at the esophagogastric junction indicated that the primary disorder was esophageal tuberculosis. The whole process responded rapidly to antituberculous treatment.
一名甲型血友病患者发生了自发性壁内食管胃血肿。在输注抗血友病因子后，血肿并未消退，反而破裂进入胃内，导致大量胃肠道出血。食管胃交界处相关的右侧气管支气管淋巴结肿大以及纤维干酪样肉芽肿的组织病理学表现提示原发性疾病为食管结核。整个病程对抗结核治疗反应迅速。
