JOURNAL ARTICLE

Spontaneous intramural hematoma of the esophagus

N Hiller, I Zagal, I Hadas-Halpern
American Journal of Gastroenterology 1999, 94 (8): 2282-4
10445563
Spontaneous intramural hematoma of the esophagus (SIHE) is a rare condition, usually presenting with severe acute chest pain. Vomiting, dysphagia, odynophagia, and hematemesis may appear later. We herein report a case of this disease in a patient treated with low doses of aspirin, and review the literature for possible etiologies for this condition. In addition, we compare the utility of the various diagnostic modalities in this uncommon condition.

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