520 results match your criteria Esophageal Hematoma

Transesophageal Echocardiography-Guided Transseptal Left Atrial Access to Improve Safety in Patients Undergoing Pulmonary Vein Isolation.

J Clin Med 2022 May 1;11(9). Epub 2022 May 1.

Division of Cardiology and Electrophysiology, GZO Regional Health Center, 8620 Wetzikon, Switzerland.

Background: Endovascular pulmonary vein isolation (PVI) has become an important strategy for rhythm control in patients with symptomatic atrial fibrillation (AF). Transseptal access is a critical step of this procedure and can result in potentially life-threatening complications. This retrospective study evaluates the safety of standardized, transesophageal echocardiography (TEE)-guided transseptal access to the left atrium in consecutive patients who underwent PVI. Read More

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[Idiopathic esophageal submucosal hematoma during antithrombotic therapy for essential thrombocythemia].

Rinsho Ketsueki 2022 ;63(4):265-270

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University, Ohashi Medical Center.

A 73-year-old woman was hospitalized with sudden chest pain and hematemesis. Chest computed tomography and upper gastrointestinal endoscopy revealed an idiopathic submucosal hematoma from the cervical esophagus to the esophagogastric mucosal junction. Idiopathic esophageal submucosal hematoma is often prone to a bleeding tendency of an underlying disorder. Read More

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Extensive intramural hematoma of the esophagus: a rare complication of esophageal thermal injury.

Rev Esp Enferm Dig 2022 Apr 26. Epub 2022 Apr 26.

Radiology, Northern Jiangsu People's Hospital (Clinical Medical School of Yangzhou University).

We report a case of extensive intramural hematoma of the esophagus (IHE) due to esophageal thermal injury, which is a rare disease with multiple causes. However, IHE caused by thermal injury is even rarer . A typical patient may present with a triad of chest pain, dysphagia, and vomiting of blood. Read More

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Red dichromatic imaging reduces bleeding and hematoma during submucosal injection in esophageal endoscopic submucosal dissection.

Surg Endosc 2022 Apr 18. Epub 2022 Apr 18.

Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Background: Bleeding and hematoma formation during submucosal injection in esophageal endoscopic submucosal dissection (ESD) reduce the visibility of the submucosa. Red dichromatic imaging (RDI) is an endoscopic technique that provides better visualization of the deep submucosal blood vessels. We speculated that blood vessel injury could be avoided with RDI. Read More

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Progression of type B intramural hematoma in patients with obstructive sleep apnea.

J Vasc Surg 2022 Mar 26. Epub 2022 Mar 26.

Department of Cardiovascular Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People's Republic of China. Electronic address:

Objective: In the present study, we estimated the influence of obstructive sleep apnea (OSA) on the progression of type B intramural hematoma (IMHB).

Methods: A total of 127 patients had undergone sleep evaluations and esophageal pressure measurements. The variables associated with aorta-related adverse events and mortality were summarized by logistic regression analysis and Cox proportional hazard models. Read More

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Neck and mediastinal hematoma caused by a foreign body in the esophagus with diagnostic difficulties: A case report.

World J Clin Cases 2022 Feb;10(6):1961-1965

Department of Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.

Background: Esophageal foreign body (FB) is a common clinical emergency. Clinically, computed tomography (CT) scans are important in the diagnosis of FBs in the esophagus. Here, we report a case of esophageal perforation and cervical hematoma, caused by a FB, whose uniqueness made rapid diagnosis difficult. Read More

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February 2022

Achalasia with esophageal intramural hematoma treated by per-oral endoscopic myotomy (POEM).

DEN open 2022 Apr 2;2(1):e70. Epub 2021 Nov 2.

Digestive Diseases Center Showa University Koto Toyosu Hospital Tokyo Japan.

Esophageal intramural hematoma (EIH) is a condition which occurs as a result of hemorrhage within the esophageal wall including the submucosal layer. However, reports of EIH on achalasia patients are quite limited and per-oral endoscopic myotomy (POEM) for achalasia with EIH has not been reported. This is the first case report that demonstrated a successful treatment of achalasia with EIH by POEM. Read More

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Multiple esophageal hematomas with oozing observed and successfully treated after transcatheter mitral valve edge-to-edge repair procedure.

DEN open 2022 Apr 24;2(1):e75. Epub 2021 Nov 24.

Kitakyushu Kokura Hospital Fukuoka Japan.

Although previously reported as relatively rare, esophageal hematoma can likely develop in patients on anticoagulants or those with underlying hemorrhagic disorders. From April 2018 to December 2018, among 36 patients who received transcatheter mitral valve edge-to-edge repair (TMVr) at our hospital, seven (19.4%), who were suspected of having digestive tract hemorrhage evidenced by blood stains on a probe extracted after transesophageal echocardiography, underwent esophagogastroduodenoscopy. Read More

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What is the optimal anesthetic monitoring regarding immediate and short-term outcomes after liver transplantation? - A systematic review of the literature and expert panel recommendations.

Clin Transplant 2022 Mar 9:e14643. Epub 2022 Mar 9.

Department of Anesthesia and Perioperative Medicine, Auckland City Hospital, Auckland, New Zealand.

Background: Liver transplant centers vary in approach to intraoperative vascular accesses, monitoring of cardiac function and temperature management. Evidence is limited regarding impact of selected modalities on postoperative outcomes.

Objectives: To review the literature and provide expert panel recommendations on optimal intraoperative arterial BP, CVP and vascular accesses, monitoring of cardiac function and intraoperative temperature management regarding immediate and short-term outcomes after OLT. Read More

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A case of spontaneous esophageal submucosal hematoma.

Clin J Gastroenterol 2022 Jun 23;15(3):522-525. Epub 2022 Feb 23.

Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.

A 78-year-old man visited a nearby hospital owing to chest pain triggered by vomiting. As computed tomography revealed suspected esophageal perforation, he was referred to our hospital. Upper gastrointestinal endoscopy showed blood coagula extending from the middle intra-thoracic to the esophago-cardiac junction (ECJ), and it was diagnosed as an esophageal submucosal hematoma. Read More

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Evaluation of efficacy of ultrasound-guided microwave ablation in primary hyperparathyroidism.

J Clin Ultrasound 2022 Feb 5;50(2):227-235. Epub 2022 Jan 5.

Department of Abdominal Ultrasound, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, China.

Purpose: We aimed to evaluate the clinical efficacy and safety of ultrasonographically (US)-guided percutaneous microwave ablation (MWA) in the treatment of primary hyperparathyroidism (PHPT).

Methods: A total of 35 patients who received MWA treatment in our hospital between August, 2019 and January, 2021 were retrospectively analyzed. Serum parathyroid hormone (PTH), calcium, phosphorus levels, and improvement in clinical symptoms were recorded before and after MWA. Read More

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February 2022

Emergency Transcatheter Arterial Embolization for Acute Mediastinal Hemorrhage.

Thorac Cardiovasc Surg 2021 Dec 31. Epub 2021 Dec 31.

Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China.

Purpose:  The aim of this study was to investigate the application value of transcatheter arterial embolization (TAE) for mediastinal hemorrhage.

Materials And Methods:  The study retrospectively analyzed the status of TAE treatment in 13 patients with mediastinal hemorrhage.

Results:  Aortic angiography and bleeding artery angiography showed that the bleeding in 13 mediastinal hemorrhage patients, respectively, originated from intercostal artery, esophageal artery, or bronchial artery. Read More

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December 2021

Three-step operation for esophago-left bronchial fistula with respiratory failure after esophagectomy: a case report with literature review.

BMC Gastroenterol 2021 Dec 14;21(1):467. Epub 2021 Dec 14.

Department of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, Gifu City, Japan.

Background: The development of esophago-bronchial fistula after esophagectomy and reconstruction using a posterior mediastinal gastric tube remains a rare complication associated with a high rate of mortality.

Case Presentation: A 63-year-old man with esophageal cancer underwent a thoracoscopic esophagectomy with two-field lymph node dissection and reconstruction via a gastric tube through the posterior mediastinal route. Postoperatively, the patient developed extensive pyothorax in the right lung due to port site bleeding and hematoma infection. Read More

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December 2021

Mid- and Long-Term Follow-Up Efficacy Analysis of 3D-Printed Interbody Fusion Cages for Anterior Cervical Discectomy and Fusion.

Orthop Surg 2021 Oct 15;13(7):1969-1978. Epub 2021 Sep 15.

Department of Orthopaedics, The Second Hospital of Shanxi Medical University, Taiyuan, China.

Objective: To evaluate the safety and stability of 3D-printed interbody fusion cages (3D-printed cages) in anterior cervical discectomy and fusion (ACDF) by investigating the mid- and long-term follow-up outcomes.

Methods: In this prospective study, the clinical data of 30 patients with CSM admitted to the Second Hospital of Shanxi Medical University from May 2012 to May 2014 were analyzed. The cohort comprised 18 males and 12 females with an average age of 60. Read More

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October 2021

Intramural Esophageal Hematoma with Herpes Esophagitis.

Intern Med 2022 Mar 4;61(6):923. Epub 2021 Sep 4.

Division of Critical Care Medicine, Nara Prefecture General Medical Center, Japan.

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Transgastric Feeding Tube Insertion into the Jejunum after Esophagectomy: Direct Puncture of the Gastric Conduit.

J Vasc Interv Radiol 2021 10 5;32(10):1464-1469. Epub 2021 Aug 5.

Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, Japan.

Purpose: To evaluate the safety and efficacy of percutaneous ultrasound (US)-guided direct puncture of a reconstructed gastric conduit after esophagectomy for performing a percutaneous radiologic gastrojejunostomy.

Materials And Methods: Between 2014 and 2020, 26 consecutive patients with esophageal cancer (mean age, 70 years ± 8.3) with a total of 27 attempts of percutaneous radiologic gastrojejunostomy for postsurgical enteral feeding at the National Cancer Center Hospital were included in this study. Read More

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October 2021

Submucosal hematoma with a wide range of lesions, severe condition and atypical clinical symptoms: A case report.

World J Clin Cases 2021 Jul;9(20):5683-5688

Department of Gastroenterology, Central Hospital Affiliated to Shandong First Medical University, Jinan 250011, Shandong Province, China.

Background: Submucosal hematoma (SH) is one of the rare causes of upper gastrointestinal bleeding. As a rare and critical disease in clinical practice, it should be paid more attention to by clinicians to avoid missed diagnosis and misdiagnosis. Most of the esophageal submucosal hematomas have clear causes, including retrosternal pain, dysphagia, Here, we report a rare case of SH extending from the hypopharynx to the lower esophagus caused by oral administration of hirudin and panax notoginseng powder, with atypical clinical manifestation. Read More

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Life-threatening bleeding from dissecting Intramural Hematoma of Esophagus (IHE) treated by trans arterial embolization.

Radiol Case Rep 2021 Sep 2;16(9):2474-2477. Epub 2021 Jul 2.

Department of Radiology, Sengkang General Hospital, 110, Sengkang Eastway, Singapore 544886.

Dissecting intramural hematoma of esophagus (DIHE) is an uncommon entity, characterized by accumulation of blood within the esophageal wall and usually managed conservatively. Only in rare circumstances, DIHE is associated with massive life-threatening hemorrhage requiring emergency treatment. We present a case of DIHE associated with cardiovascular collapse and treated by transcatheter arterial embolization. Read More

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September 2021

Delayed bleeding and intratunnel hematoma after peroral endoscopic myotomy: salvage endoscopy management with full recovery.

Endoscopy 2022 06 18;54(6):624-625. Epub 2021 Jun 18.

Gastroenterology and Hepatology, Puerta de Hierro University Hospital of Majadahonda, Majadahonda, Spain.

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Thoracic esophageal injury due to a neck stab wound: a case report.

Surg Case Rep 2021 May 20;7(1):126. Epub 2021 May 20.

Department of Digestive Surgery, Tsuchiura Kyodo General Hospital, 4-1-1 Otuno, Tsuchiura-shi, Ibaraki, Japan.

Background: Traumatic esophageal injury leads to severe complications such as mediastinitis, pyothorax, and tracheoesophageal fistula. Although prompt diagnosis and treatment are required, there are no established protocols to guide diagnosis or treatment. In particular, thoracic esophageal injury tends to be diagnosed later than cervical esophageal injury because it has few specific symptoms. Read More

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Esophageal Cancer Surgery in Dialyzed Patients: A Single Institution Case Series.

Ann Thorac Cardiovasc Surg 2021 Apr 27. Epub 2021 Apr 27.

Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan.

We sought to evaluate the feasibility of esophageal carcinoma (EC) surgery in cases requiring dialysis. Among 250 consecutive patients undergoing surgical resection for EC, three on maintenance dialysis were identified. We retrospectively analyzed their clinical characteristics. Read More

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Spontaneous Intramural Esophageal Hematoma Secondary to Thrombolysis in the Setting of Pulmonary Embolism.

Vasc Endovascular Surg 2021 Jul 8;55(5):510-514. Epub 2021 Feb 8.

Cardiovascular Intervention Research Center, 158776Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Intramural hematoma of the esophagus (IHE) represents a rare condition on the spectrum of esophageal injuries. The most common symptoms are hematemesis, epigastric pain or retrosternal chest pains, odynophagia, and dysphagia. Early recognition of IHE is important as it may mimic other diseases such as myocardial infarction, pulmonary embolism, Mallory-Weiss tears, Boerhaave's syndrome, ruptured aortic aneurysms, and aortic dissection. Read More

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A study on safe forceps grip force for the intestinal tract using haptic technology.

Minim Invasive Ther Allied Technol 2022 Apr 19;31(4):573-579. Epub 2021 Jan 19.

Haptics Research Center, Keio University, Kanagawa, Japan.

Purpose: The present study used haptic technology to determine the safe forceps grip force for preventing organ damage when handling the intestinal tract.

Material And Methods: The small intestines of ten male beagle dogs (weighing 9.5-10 kg) were grasped with the entire forceps for one minute; the small intestines were then pulled out of the forceps and evaluated for damage. Read More

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The Conundrum of Treating Portal Vein Thrombosis and Submucosal Esophageal Hematoma.

Cureus 2020 Dec 11;12(12):e12031. Epub 2020 Dec 11.

Internal Medicine, Joan C. Edwards School of Medicine - Marshall University, Huntington, USA.

Submucosal esophageal hematoma (SEH) is an uncommon clinical entity and a rare form of esophageal insult. Patients usually present with retrosternal chest pain and dysphagia, which often make the diagnosis of SEH difficult as it mimics common cardiovascular and pulmonary disorders. One of the common inciting factors includes the use of anticoagulants. Read More

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December 2020

Space-Occupying Lesions of the Retropharyngeal Space: An Anatomical Study With Application to Postoperative Retropharyngeal Hematomas.

Global Spine J 2021 Jun 13;11(5):704-708. Epub 2020 May 13.

Swedish Medical Center, Seattle, Washington, DC, USA.

Study Design: Cadaver study.

Objective: The retropharyngeal space's (RPS's) clinical relevance is apparent in anterior cervical spine surgery with respect to postoperative hematoma, which can cause life-threatening airway obstruction. This cadaver study aims to establish guidance toward a better understanding of the tolerance of the RPS to accommodate fluid accumulation. Read More

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Esophageal Hematoma Associated with the Bolus Ingestion of Hot Coffee.

Intern Med 2020 Nov 7;59(21):2701-2704. Epub 2020 Jul 7.

Department of Gastroenterology, Toranomon Hospital, Japan.

A 59-year-old woman presented with pharyngeal discomfort and dysphagia starting the previous day. Esophagogastroduodenoscopy revealed a longitudinal reddish area and hematoma mainly on the left wall of the esophagus. On the previous day, she had felt a piece of meat sticking in her throat while eating; she therefore rapidly gulped down some hot coffee to hasten the passage of the meat. Read More

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November 2020

Patient satisfaction with continuous epidural analgesia after major surgical procedures at a Swedish University hospital.

PLoS One 2020 2;15(7):e0235636. Epub 2020 Jul 2.

Department of Surgical Sciences, Unit for Anaesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden.

Objective: The use of epidural analgesia after major surgery is a well-established analgesia method. Epidural analgesia for postoperative pain relief needs to be monitored regularly in order to evaluate patient satisfaction and avoid side effects. However, due to the new available regional techniques, the role of epidural analgesia is being questioned and data about patient satisfaction is lacking. Read More

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September 2020

Aortic injury caused by esophageal foreign body-case reports of 3 patients and literature review.

Medicine (Baltimore) 2020 Jun;99(26):e20849

Department of Thoracic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.

Objectives: Ingestion of a foreign body can cause different degrees of damage to esophagus, and several complications are potentially life-threatening if not properly handled. The aortic injury caused by a perforating esophageal foreign body is rare but lethal. The optimal management still remains controversial. Read More

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Massive esophageal hemorrhage after a MitraClip procedure successfully treated by balloon compression.

Clin J Gastroenterol 2020 Oct 25;13(5):693-696. Epub 2020 Jun 25.

Department of Gastroenterology, Sendai Kousei Hospital, 4-15, Hirose-machi, Aoba-ku, Sendai, Miyagi, 980-0873, Japan.

MitraClip procedure is an effective treatment for mitral regurgitation, performed globally. During the MitraClip procedure, transesophageal echocardiography is an essential modality to perform the operation safely. Although a few transesophageal echocardiography-related complications, such as esophageal hematoma, have been reported, there are no reports on massive esophageal bleeding after the MitraClip procedure. Read More

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October 2020