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Esophageal Submucosal Hematoma Possibly Caused by Gastric Tube Insertion Under General Anesthesia
Yuri Fujimoto1, Kazuhiro Shirozu, Noritoshi Shirozu
1From the *Department of Anesthesiology and Critical Care Medicine, †Operating Rooms, and ‡Department of Neurosurgery, Kyushu University Hospital, Fukuoka, Japan; §Department of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of Medicine, Fukuoka, Japan; ‖Medical Information Center, Kyushu University Hospital, Fukuoka, Japan; and ¶Department of Neurosurgery, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Abstract:
We present a case of an esophageal submucosal hematoma that developed after endovascular treatment for coil embolization for an unruptured cerebral aneurysm. The patient had received antiplatelet therapy before surgery and anticoagulation therapy during surgery. The orogastric tube was removed at case end with sustained negative pressure. After surgery, the patient reported chest and back pain and was diagnosed with an esophageal submucosal hematoma. The hematoma might have been related to the gastric tube insertion or removal. Providers should keep in mind the possibility of this complication when a patient who was given antithrombotic therapy reports chest or back pain after surgery.
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