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2019, Number 1

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Revista Cubana de Cirugía 2019; 58 (1)

Dissecting hematoma of the esophagus due to acute surgical abdomen

Laffita LW, Abilio LCS, Otero CA, Dias CIF, Lafita MWR

Language: Spanish
References: 25
Page: 144-151
PDF size: 385.15 Kb.


ABSTRACT

Dissecting hematoma of the esophagus is a rare condition and there are only few cases reported by the literature. Generally, it occurs after trauma associated with endoscopic procedures or spontaneously. It is described clinically with the classic triad of chest pain, odynophagia, dysphagia or hematemesis. It has been associated with a rapid increase in intra-esophageal pressure or an abnormal swallowing mechanism particularly in the presence of haemostasis disorders. Most patients have a good prognosis because they obtain a solution by means of a conservative treatment. We present the clinical case of a patient with a diagnosis of dissecting hematoma of the esophagus with rupture to the abdominal cavity causing significant hemoperitoneum. A review of the subject is carried out.


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