A case of spontaneous submucosal hematoma

Abstract

Submucosal hematoma of the esophagus is rare disease. We herein report a case of spontaneous submucosal hematoma of the esophagus.
A-74-year old male with vomiting approximately 100ml of blood after vomiting to repeat visited the Metropolitan Bokuto Hospital. Emergent endoscopy revealed a giant hematoma on the wall of the entire esophagus. He was performing the anti-solidification treatment to thrombo-sis, and was considered to be one of the causes of hematoma. An anti-solidification treatment was stopped at the time of hospitalization. Fasting and intravenous hyperalimentation were begun and follow up studies were conducted using endoscopy. In the third endoscopic examination on eight hospital days, the hematoma had disappeared and a deep ulcer was noted. The ulcer became shallow under conservative therapy, and it became scar and there was no constriction of the esophagus in the 4th endoscopic examination on 22 hospital days. From the 34 cases of spontaneous submucosal hematoma inJapan, it was thought that the prognosis of this disease was excellent under conservative therapy also in the patient in an anti-thrombus treatment, or a patient with a bleeding tendency.