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Intramural Esophageal Hematoma Secondary to Food Ingestion
Bashar Sharma1, Dhruv Lowe2, Marsha Antoine1
1Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Abstract:
Intramural esophageal hematoma (IEH) is a rare cause of submucosal esophageal bleeding and it is on the spectrum of esophageal wall injury along with mucosal tears (Mallory-Weiss syndrome) and full thickness perforation (Boerhaave's syndrome). Its risk factors include coagulopathy, trauma (foreign body ingestion or esophageal instrumentation) or it can happen spontaneously. It presents with a triad of chest pain, dysphagia, and hematemesis; however, the triad is only present in 35% of patients. We are presenting a case of IEH secondary to food ingestion that was managed successfully by conservative measures.
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