Intramural hematoma of the esophagus: A pictorial essay

Carlos S Restrepo, Diego F. Lemos, Daniel Ocazionez, Rogelio Moncada, Carlos R. Gimenez

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Intramural hematoma of the esophagus (IHE) is a rare but well-documented condition that is part of the spectrum of esophageal injuries which includes the more common Mallory-Weiss tear and Boerhaave's syndrome. Acute retrosternal or epigastric pain is a common clinical feature, which can be accompanied by dysphagia, odynophagia, or hematemesis. An early differentiation from Mallory-Weiss tear, Boerhaave syndrome, ruptured aortic aneurysm, aortic dissection, acute myocardial infarction, or pulmonary pathology can be difficult. Computed tomography (CT) is the imaging modality of choice and characteristically reveals a concentric or eccentric thickening of the esophageal wall with well-defined borders and variable degree of obliteration of the lumen. Measurement of the attenuation values within the lesion will reveal blood density which varies according to the age of the hematoma. CT should be considered the preferred diagnostic technique, thereby facilitating proper clinical management. Early diagnosis is crucial as most patients maybe treated conservatively with good outcome.

Original languageEnglish (US)
Pages (from-to)13-22
Number of pages10
JournalEmergency Radiology
Volume15
Issue number1
DOIs
StatePublished - Jan 2008

Fingerprint

Mallory-Weiss Syndrome
Hematoma
Esophagus
Tomography
Hematemesis
Aortic Rupture
Deglutition Disorders
Dissection
Early Diagnosis
Myocardial Infarction
Pathology
Pain
Lung
Wounds and Injuries
Boerhaave syndrome

Keywords

  • Computed tomography (CT)
  • Diagnosis
  • Intramural hematoma of the esophagus (IHE)

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Restrepo, C. S., Lemos, D. F., Ocazionez, D., Moncada, R., & Gimenez, C. R. (2008). Intramural hematoma of the esophagus: A pictorial essay. Emergency Radiology, 15(1), 13-22. https://doi.org/10.1007/s10140-007-0675-0

Intramural hematoma of the esophagus : A pictorial essay. / Restrepo, Carlos S; Lemos, Diego F.; Ocazionez, Daniel; Moncada, Rogelio; Gimenez, Carlos R.

In: Emergency Radiology, Vol. 15, No. 1, 01.2008, p. 13-22.

Research output: Contribution to journalArticle

Restrepo, CS, Lemos, DF, Ocazionez, D, Moncada, R & Gimenez, CR 2008, 'Intramural hematoma of the esophagus: A pictorial essay', Emergency Radiology, vol. 15, no. 1, pp. 13-22. https://doi.org/10.1007/s10140-007-0675-0
Restrepo CS, Lemos DF, Ocazionez D, Moncada R, Gimenez CR. Intramural hematoma of the esophagus: A pictorial essay. Emergency Radiology. 2008 Jan;15(1):13-22. https://doi.org/10.1007/s10140-007-0675-0
Restrepo, Carlos S ; Lemos, Diego F. ; Ocazionez, Daniel ; Moncada, Rogelio ; Gimenez, Carlos R. / Intramural hematoma of the esophagus : A pictorial essay. In: Emergency Radiology. 2008 ; Vol. 15, No. 1. pp. 13-22.
@article{4809d55f003849b0afe092a33d0d50e6,
title = "Intramural hematoma of the esophagus: A pictorial essay",
abstract = "Intramural hematoma of the esophagus (IHE) is a rare but well-documented condition that is part of the spectrum of esophageal injuries which includes the more common Mallory-Weiss tear and Boerhaave's syndrome. Acute retrosternal or epigastric pain is a common clinical feature, which can be accompanied by dysphagia, odynophagia, or hematemesis. An early differentiation from Mallory-Weiss tear, Boerhaave syndrome, ruptured aortic aneurysm, aortic dissection, acute myocardial infarction, or pulmonary pathology can be difficult. Computed tomography (CT) is the imaging modality of choice and characteristically reveals a concentric or eccentric thickening of the esophageal wall with well-defined borders and variable degree of obliteration of the lumen. Measurement of the attenuation values within the lesion will reveal blood density which varies according to the age of the hematoma. CT should be considered the preferred diagnostic technique, thereby facilitating proper clinical management. Early diagnosis is crucial as most patients maybe treated conservatively with good outcome.",
keywords = "Computed tomography (CT), Diagnosis, Intramural hematoma of the esophagus (IHE)",
author = "Restrepo, {Carlos S} and Lemos, {Diego F.} and Daniel Ocazionez and Rogelio Moncada and Gimenez, {Carlos R.}",
year = "2008",
month = "1",
doi = "10.1007/s10140-007-0675-0",
language = "English (US)",
volume = "15",
pages = "13--22",
journal = "Emergency Radiology",
issn = "1070-3004",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Intramural hematoma of the esophagus

T2 - A pictorial essay

AU - Restrepo, Carlos S

AU - Lemos, Diego F.

AU - Ocazionez, Daniel

AU - Moncada, Rogelio

AU - Gimenez, Carlos R.

PY - 2008/1

Y1 - 2008/1

N2 - Intramural hematoma of the esophagus (IHE) is a rare but well-documented condition that is part of the spectrum of esophageal injuries which includes the more common Mallory-Weiss tear and Boerhaave's syndrome. Acute retrosternal or epigastric pain is a common clinical feature, which can be accompanied by dysphagia, odynophagia, or hematemesis. An early differentiation from Mallory-Weiss tear, Boerhaave syndrome, ruptured aortic aneurysm, aortic dissection, acute myocardial infarction, or pulmonary pathology can be difficult. Computed tomography (CT) is the imaging modality of choice and characteristically reveals a concentric or eccentric thickening of the esophageal wall with well-defined borders and variable degree of obliteration of the lumen. Measurement of the attenuation values within the lesion will reveal blood density which varies according to the age of the hematoma. CT should be considered the preferred diagnostic technique, thereby facilitating proper clinical management. Early diagnosis is crucial as most patients maybe treated conservatively with good outcome.

AB - Intramural hematoma of the esophagus (IHE) is a rare but well-documented condition that is part of the spectrum of esophageal injuries which includes the more common Mallory-Weiss tear and Boerhaave's syndrome. Acute retrosternal or epigastric pain is a common clinical feature, which can be accompanied by dysphagia, odynophagia, or hematemesis. An early differentiation from Mallory-Weiss tear, Boerhaave syndrome, ruptured aortic aneurysm, aortic dissection, acute myocardial infarction, or pulmonary pathology can be difficult. Computed tomography (CT) is the imaging modality of choice and characteristically reveals a concentric or eccentric thickening of the esophageal wall with well-defined borders and variable degree of obliteration of the lumen. Measurement of the attenuation values within the lesion will reveal blood density which varies according to the age of the hematoma. CT should be considered the preferred diagnostic technique, thereby facilitating proper clinical management. Early diagnosis is crucial as most patients maybe treated conservatively with good outcome.

KW - Computed tomography (CT)

KW - Diagnosis

KW - Intramural hematoma of the esophagus (IHE)

UR - http://www.scopus.com/inward/record.url?scp=36549061560&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=36549061560&partnerID=8YFLogxK

U2 - 10.1007/s10140-007-0675-0

DO - 10.1007/s10140-007-0675-0

M3 - Article

C2 - 17952475

AN - SCOPUS:36549061560

VL - 15

SP - 13

EP - 22

JO - Emergency Radiology

JF - Emergency Radiology

SN - 1070-3004

IS - 1

ER -