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Intramural hematoma of the esophagus presenting as chest pain

✍ Scribed by Roy E. Strowd; Patience Agborbesong; Maria Eapen; Sean Ervin

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
144 KB
Volume
5
Category
Article
ISSN
1553-5592

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✦ Synopsis

Intramural hematoma of the esophagus (IHE) is a rare clinical entity. The majority of cases occur following esophageal instrumentation; however, other causes have been described. [1][2][3][4] Rarely, IHE may develop spontaneously. We report a case of apparent spontaneous IHE (SIHE) in a patient presenting with acute-onset chest pain and dysphagia who was taking low-dose aspirin, bisphosphonate, and iron supplementation therapy. We highlight the evaluation of chest pain in these patients and the importance of considering the association between esophageal pathology and less commonly implicated medications which may increase the risk of esophageal injury.

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