自发性食管壁内血肿：胸痛的一种罕见病因。
Spontaneous intramural oesophageal haematoma: an unusual cause of chest pain.
作者信息
Concannon Elizabeth Sarah, Khan Faraz, O'Hanrahan Timothy
机构信息
General Surgery Department, Sligo General Hospital, Sligo, Ireland.
出版信息
BMJ Case Rep. 2011 Nov 15;2011:bcr0920114837. doi: 10.1136/bcr.09.2011.4837.
Abstract
The following case describes a 29-year-old previously well gentleman who presented with an acute onset of chest pain, dysphagia, odynophagia and vomiting without haematemesis. An oesophageal lesion was visualised on CT angiography and further investigation via oesophogastroduodenoscopy (OGD) diagnosed a spontaneous intramural oesophageal haematoma as the cause of his symptomatology. Conservative medical management in the form of triple therapy and softened diet was well tolerated and a follow-up OGD at 6 weeks after discharge from hospital showed spontaneous resolution of the haematoma.
摘要
以下病例描述了一位29岁的既往健康男性，他出现了急性胸痛、吞咽困难、吞咽痛和呕吐，但无呕血症状。CT血管造影显示食管有病变，通过食管胃十二指肠镜检查（OGD）进一步检查诊断为自发性壁内食管血肿是其症状的病因。以三联疗法和软食形式进行的保守药物治疗耐受性良好，出院后6周的随访OGD显示血肿已自发消退。
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Heart. 2007 Oct;93(10):1190. doi: 10.1136/hrt.2006.104422.
3
Oesophageal haematoma and associated Mallory-Weiss tear.食管血肿及相关的马洛里-魏斯撕裂伤
Postgrad Med J. 2004 Dec;80(950):734-5. doi: 10.1136/pgmj.2003.018432.
4
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Ann Thorac Surg. 2004 Jul;78(1):343-5. doi: 10.1016/S0003-4975(03)01280-3.
5
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6
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