门静脉血栓形成与食管黏膜下血肿的治疗难题

The Conundrum of Treating Portal Vein Thrombosis and Submucosal Esophageal Hematoma.

作者信息

Singh Davinder, Zaheer Kamran, Dobariya Varun, Lester Alexis P, Teka Samson

机构信息

Internal Medicine, Joan C. Edwards School of Medicine - Marshall University, Huntington, USA.

出版信息

Cureus. 2020 Dec 11;12(12):e12031. doi: 10.7759/cureus.12031.

DOI:10.7759/cureus.12031

PMID:33457132

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7797442/

Abstract

Submucosal esophageal hematoma (SEH) is an uncommon clinical entity and a rare form of esophageal insult. Patients usually present with retrosternal chest pain and dysphagia, which often make the diagnosis of SEH difficult as it mimics common cardiovascular and pulmonary disorders. One of the common inciting factors includes the use of anticoagulants. In this report, we discuss the case of a patient with portal vein thrombosis who was treated with heparin and consequently developed SEH.

摘要

食管黏膜下血肿（SEH）是一种罕见的临床病症，也是食管损伤的一种罕见形式。患者通常表现为胸骨后胸痛和吞咽困难，这常常使SEH的诊断变得困难，因为它会模仿常见的心血管和肺部疾病。常见的诱发因素之一包括使用抗凝剂。在本报告中，我们讨论了一名门静脉血栓形成患者的病例，该患者接受肝素治疗后继而发生了SEH。