Jie Li, Manli Cui, Hua Wen, Jie Zhang, Mingxin Zhang
{"title":"Endoscopic Clot Removal Is an Effective Method for Treating Massive Ruptured Esophageal Hematoma: A Case Report.","authors":"Jie Li, Manli Cui, Hua Wen, Jie Zhang, Mingxin Zhang","doi":"10.1159/000544787","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Endoscopic clot removal in complex huge esophageal hematoma is a rare clinical entity.</p><p><strong>Case presentation: </strong>A 48-year-old male patient presented to our hospital with vomiting blood with black stool for 1 day after drinking alcohol. Esophageal hematoma was diagnosed after chest CT and EGD. After conservative treatment with intravenous fluids, the patient's symptoms of vomiting blood persisted and the hemoglobin decreased significantly. We decided to perform another EGD: the huge hematoma had ruptured. We performed endoscopic hemostasis and blood clot removal. Long-term postoperative follow-up shows the mucosa heals well.</p><p><strong>Conclusion: </strong>Endoscopic clot removal is an effective method of treating esophageal huge hematoma accompanied by rupture.</p>","PeriodicalId":9614,"journal":{"name":"Case Reports in Gastroenterology","volume":"19 1","pages":"276-280"},"PeriodicalIF":0.5000,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975341/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Gastroenterology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1159/000544787","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Endoscopic clot removal in complex huge esophageal hematoma is a rare clinical entity.
Case presentation: A 48-year-old male patient presented to our hospital with vomiting blood with black stool for 1 day after drinking alcohol. Esophageal hematoma was diagnosed after chest CT and EGD. After conservative treatment with intravenous fluids, the patient's symptoms of vomiting blood persisted and the hemoglobin decreased significantly. We decided to perform another EGD: the huge hematoma had ruptured. We performed endoscopic hemostasis and blood clot removal. Long-term postoperative follow-up shows the mucosa heals well.
Conclusion: Endoscopic clot removal is an effective method of treating esophageal huge hematoma accompanied by rupture.
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