Abstract
Both mucosal bridge and spontaneous submucosal hematoma of the esophagus are rare diseases. We herein describe a case of spontaneous submucosal hematoma of the esophagus with mucosal bridge at the healing stage. A-73-year old female with anterior chest pain and nausea visited the Yawata Municipal Hospital. During examination she suddenly vomited approximately 300 ml of blood on a single occasion. Emergent endoscopic examination revealed a giant hematoma on the wall of the entire esophagus. Fasting and intravenous hyperalimentation were begun and follow up studies were conducted using the CT scan. In the second endoscopic examination done two weeks later, the hematoma had disappeared and a shallow ulcer and mucosal bridges had formed at the area of the hematoma. The esophageal mucosal bridges remained for more than two years and we cut them down because the patient had occasional dysphagia. After treatment, her symptoms had completely disappeared. From the evaluation of 23 cases of spontaneous submucosal hematoma in Japan, it was thought that the prognosis of this disease was excellent under conservative therapy.
