Achalasia combined with esophageal intramural hematoma: Case report and literature review

Yin Yi Chu*, Kai Feng Sung, N. G. Soh-Ching, Hao Tsai Cheng, Cheng Tang Chiu

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations

Abstract

A 62-year-old male patient was admitted to our hospital due to severe chest pain, odynophagia, and hematemesis. Chest computed tomography showed an esophageal submucosal tumor. Esophagogastroduodenoscopy (EGD) revealed a longitudinal purplish bulging tumor of the esophagus. Endoscopic ultrasound (EUS) showed a mixed echoic tumor with partial liquefaction from the submucosal layer. The patient was diagnosed with esophageal intramural hematoma as well as achalasia by upper gastrointestinal endoscopy, esophagography and esophageal manometry. The patient was managed conservatively with intravenous nutrition, and oral feeding was discontinued. Follow-up EGD and EUS showed complete recovery of the esophageal wall, and finally, the patient underwent endoscopic dilatation for achalasia. The patient was symptom free at the time when we wrote this manuscript.

Original languageEnglish
Pages (from-to)5391-5394
Number of pages4
JournalWorld Journal of Gastroenterology
Volume16
Issue number42
DOIs
StatePublished - 14 11 2010

Keywords

  • Achalasia
  • Endoscopic ultrasound
  • Esophageal intramural hematoma

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