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剧烈呕吐后食管血肿

Esophageal Hematoma After Severe Vomiting.

作者信息

Lei Jiaming, Wu Ling

机构信息

Department of Gastroenterology, People's Hospital of Leshan, Leshan, CHN.

Department of Cardiology, The Affiliated Hospital of Southwest Medical University, Luzhou, CHN.

出版信息

Cureus. 2024 Nov 25;16(11):e74392. doi: 10.7759/cureus.74392. eCollection 2024 Nov.

DOI:10.7759/cureus.74392
PMID:39723264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11669182/
Abstract

A male patient developed hematemesis and chest pain after severe vomiting. Gastroscopy showed a linear hematoma from the esophageal entrance to the cardia. Enhanced CT of the esophagus revealed a high-density shadow in the middle of the esophagus. Severe vomiting can lead to esophageal injury and esophageal hematoma. As this condition mimics critical symptoms of myocardial infarction and aortic dissection, clinicians must remain vigilant. This case emphasizes the importance of recognizing acute submucosal bleeding in the digestive tract, aiding in clinical diagnosis and treatment.

摘要

一名男性患者在剧烈呕吐后出现呕血和胸痛。胃镜检查显示从食管入口到贲门有一条线状血肿。食管增强CT显示食管中段有高密度影。剧烈呕吐可导致食管损伤和食管血肿。由于这种情况类似于心肌梗死和主动脉夹层的危急症状，临床医生必须保持警惕。该病例强调了认识消化道急性黏膜下出血的重要性，有助于临床诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d8e/11669182/e8818cb9d8f3/cureus-0016-00000074392-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d8e/11669182/7669b4daf131/cureus-0016-00000074392-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d8e/11669182/6c729efffd74/cureus-0016-00000074392-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d8e/11669182/e8818cb9d8f3/cureus-0016-00000074392-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d8e/11669182/7669b4daf131/cureus-0016-00000074392-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d8e/11669182/6c729efffd74/cureus-0016-00000074392-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d8e/11669182/e8818cb9d8f3/cureus-0016-00000074392-i03.jpg

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