Roemmele Emma, Meighan Victoria, Morrissey Brendan
Emergency Department, Sligo University Hospital, Sligo, Ireland.
Radiology Department, Sligo University Hospital, Sligo, Ireland.
BMJ Case Rep. 2017 Dec 28;2017:bcr-2017-222447. doi: 10.1136/bcr-2017-222447.
This case describes a previously well 90-year-old woman who presented with neck pain, swelling, dysphagia and hoarseness following a motor vehicle collision. Oesophageal oedema was visualised on CT of cervical spine and subsequent CT angiography highlighted an actively bleeding intramural oesophageal haematoma (IOH) extending from the cervical oesophagus to the carina. This rare phenomenon (IOH) has been described as a possible consequence of blunt trauma to the neck; however, we found no cases resulting from acceleration/deceleration injury. Although this was a potentially life-threatening injury, our patient made a full recovery with conservative management.
该病例描述了一名此前健康的90岁女性，在机动车碰撞后出现颈部疼痛、肿胀、吞咽困难和声音嘶哑。颈椎CT显示食管水肿，随后的CT血管造影突出显示了一个从颈段食管延伸至隆突的活动性壁内食管血肿（IOH）。这种罕见现象（IOH）已被描述为颈部钝性创伤的一种可能后果；然而，我们未发现因加速/减速损伤导致的病例。尽管这是一种潜在的危及生命的损伤，但我们的患者通过保守治疗完全康复。
