L'Hegaret P, Cauvin J M, Le Guyader J, Laurent M, Lozac'h P
Service de Chirurgie Viscérale, Centre Hospitalier Universitaire, Brest.
Ann Radiol (Paris). 1991;34(5):320-3.
Spontaneous esophageal hematoma is rare, occurring in a context of high esophageal pressure with abnormalities of hemostasis in some cases. We report a case involving the whole length of the esophagus with no evidence of any etiologic factor. The value of CT Scan is reviewed comparatively with esophageal barium examination and endoscopy. CT Scan confirms the diagnosis and the absence of true esophageal perforation. The general course monitored by CT scanning is uneventful, even in the case of extensive mucosal lesions. This justifies the nonaggressive attitude advocated by the majority of authors.
自发性食管血肿较为罕见，在某些情况下，它发生于食管压力升高且存在止血异常的背景下。我们报告一例食管全程受累的病例，未发现任何病因学因素。本文对CT扫描与食管钡餐检查及内镜检查的价值进行了比较性综述。CT扫描确诊了病情且排除了真性食管穿孔。即使在广泛黏膜病变的情况下，通过CT扫描监测的总体病程也较为平稳。这证明了大多数作者所倡导的非激进态度的合理性。
