Habu Tsugumi, Koizumi Eriko, Goto Osamu, Noda Hiroto, Higuchi Kazutoshi, Onda Takeshi, Omori Jun, Akimoto Naohiko, Kaise Mitsuru, Iwakiri Katsuhiko
Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.
Endoscopy Center, Nippon Medical School Hospital, Tokyo, Japan.
Case Rep Gastroenterol. 2022 Jun 13;16(2):382-387. doi: 10.1159/000525036. eCollection 2022 May-Aug.
Esophageal submucosal hematoma is a rare disease mainly caused by mechanical stimulation to the esophageal wall. We reported a case of esophageal submucosal hematoma after transesophageal echocardiography (TEE) which was performed during cardiovascular surgery. The stimuli of TEE insertion under general anesthesia and the perioperative use of multiple antithrombotic agents were considered as a possible cause. This is the first report of esophageal submucosal hematoma related to TEE, and endoscopic ultrasonography should be carefully performed in patients, particularly at bleeding tendency and without consciousness.
食管黏膜下血肿是一种罕见疾病，主要由食管壁受到机械刺激引起。我们报告了一例在心血管手术期间行经食管超声心动图（TEE）检查后发生食管黏膜下血肿的病例。全身麻醉下插入TEE的刺激以及围手术期使用多种抗血栓药物被认为是可能的病因。这是首例与TEE相关的食管黏膜下血肿报告，对于患者，尤其是有出血倾向且无意识的患者，应谨慎进行内镜超声检查。
