Furukawa H, Hara T, Taniguchi T, Tetsu O
Department of Surgery, Shimizu Kosei Hospital, Japan.
Gastroenterol Jpn. 1993 Feb;28(1):81-7. doi: 10.1007/BF02775007.
The authors experienced a case of spontaneous intramural hematoma of the esophagus (SIHE). This 44-year-old Japanese woman was admitted to our hospital because of chest pain accompanied by minimal hematemesis. Endoscopy revealed an elevated intraluminal bleeding bulge. Barium esophagograms showed a smooth and giant elevated intraluminal lesion. CT and MRI also revealed thickening of the esophageal wall. Fasting and intravenous hyperalimentation were prescribed on admission. The conditions improved and she became asymptomatic on the fifth day of hospitalization. Subsequent examinations by esophagography and endoscopy showed that the elevated lesion had disappeared and that the inflamed mucosal lesion had improved. The prognosis of cases of SIHE is excellent under conservative therapy, but close follow-up care is necessary.
作者遇到一例自发性食管壁内血肿（SIHE）。这位44岁的日本女性因胸痛伴少量呕血入院。内镜检查发现腔内有一个隆起的出血性肿块。食管钡餐造影显示腔内有一个光滑的巨大隆起病变。CT和MRI也显示食管壁增厚。入院时给予禁食和静脉高营养治疗。病情好转，住院第五天她已无症状。随后的食管造影和内镜检查显示，隆起病变消失，炎症性黏膜病变有所改善。SIHE病例在保守治疗下预后良好，但需要密切随访。
