1994 Volume 36 Issue 6 Pages 1199-1203_1
Two cases of spontaneous submucosal hematoma of the esophagus were reported. Case 1; A 41-year-old male was admitted to Ogachi Central Hospital with a chief complaint of hematemesis. Endoscopic examination revealed hematoma in the upper portion of the esophagus and a diagnosis of submucosal hematoma was made. Anti-acid drugs were administered and hematoma was absorbed one week after treatment. Case 2 ; A 45-year-old male was admitted to Ogachi Central Hospital because of hematemesis. Endoscopic examination revealed a large dark red-colored swelling extending from the upper esophagus to the cardia of the stomach and a diagnosis of submucosal hematoma was made. Treatment with H2-blocker in addition to anti-acid drugs was begun. In the 2nd endoscopic examination done one week later, the hematoma disappeared and a shallow ulcer due to the dissection of mucosa was formed at the area of the hematoma. The ulce was healed four weeks after treatment.
