Intramural Hematoma of Esophagus after Lifting a Heavy Sack of Rice Which Mimicking Cardiovascular Disorder

Manouchehr Aghajanzadeh, Mahmood Yousefi-Mashhoor, Ali Sayhani, Ali Alavi Foumani and Shima Ildari

Department of Thoracic Surgery, Guilan University of Medical Sciences, Iran Department of Gastroenterology, Arya Private Hospital, Guilan University of Medical Sciences, Iran Department of Cardiology, Arya Private Hospital, Guilan University of Medical Sciences, Iran Department of Internal Medicine, Guilan University of Medical Sciences, Rasht, Iran

^*Correspondance to: Shima Ildari 

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Abstract:

Introduction: We report here a case of an intramural hematoma of the esophagus. The extension of this was from cervical esophagus to lesser curvature of stomach intramural hematoma. Case: This very rare event in older women is more common in and can be missed as cardiovascular or emergent disease of esophagus. The most common clinical presentations are severe chest pain, dysphagia or odynophagia and mild hematemesis. The common risk factors are blunt, penetrating or iatrogenic injuries, Valsalva maneuver and antiguagilan medication, in literatures spontaneous cases have also been reported. Discussion: IEH is a very rare event of esophagus and submucosal esophageal bleeding which can present with acute onset of chest pain, dysphagia or hematemesis and can mimicking some acute cardiopulmonary diseases. These can result in a delayed or even missed diagnosis IHE. Past medical history is very important in such situation. Thus, a high index of suspicion IHE is needed to make the diagnosis and provide the appropriate and best management.

Keywords:

Intramural; Hematoma; Esophagus

Cite the Article:

Aghajanzadeh M, Yousefi-Mashhoor M, Sayhani A, Foumani AA, Ildari S. Intramural Hematoma of Esophagus after Lifting a Heavy Sack of Rice Which Mimicking Cardiovascular Disorder. Ann Clin Case Rep. 2021; 6: 1919..