Esophageal Intramural Haematoma related Dysphagia: A rare complication after thrombolysis.

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Samman Verma, Prashant Gupta, Amitava Dutta, Pankaj Gupta, Vishal Sharma
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引用次数: 1

Abstract

Esophageal Intramural Haematoma (EIH) is a rare entity usually caused by repeated emesis or trauma. It is diagnosed on the basis of upper gastrointestinal endoscopy and radiology. Treatment is conservative unless hemodynamic instability prevails. Use of anticoagulation or thrombolytic therapy is believed to be a risk factor rather than a causative etiology. However, a review of literature shows only few cases occurring post-thrombolysis. We report about a patient of myocardial infarction who was thrombolyzed with streptokinase. He developed hematemesis and dysphagia a few hours after thrombolysis despite ECG resolution of his ST elevation. He was diagnosed to have EIH on basis of endoscopic and computed tomographic findings. His symptoms improved within two weeks, and a repeat UGIE showed resolution of the hematoma.

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食管壁内血肿相关吞咽困难:溶栓后的罕见并发症。
食管壁内血肿(EIH)是一种罕见的疾病,通常由反复呕吐或创伤引起。它是在上消化道内镜和放射学的基础上诊断的。治疗是保守的,除非血流动力学不稳定。使用抗凝或溶栓治疗被认为是一个危险因素,而不是病因。然而,回顾文献显示只有少数病例发生在溶栓后。我们报告一例心肌梗死患者用链激酶溶栓。溶栓后几小时出现呕血和吞咽困难,尽管心电图显示ST段升高。根据内窥镜和计算机断层扫描的结果,他被诊断为EIH。他的症状在两周内改善,再次UGIE显示血肿消退。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Cardiovascular and Thoracic Research
Journal of Cardiovascular and Thoracic Research CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.00
自引率
0.00%
发文量
22
审稿时长
7 weeks
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