1999 Volume 53 Pages 66-69
A73-year-old female was admitted to our hospital to prevent esophageal varix due to liver cirrhosis. Just after third session of endoscopic injection sclerotherapy (EIS) , she had dysphasia and chest pain. Next day after therapy, endoscopic findings showed intramural hematoma and plain chest X-ray showed no enlargement of the upper middle portion. Four days, she had dyspnea and loss of consciousness and was recovered after inserting the tube to the trachea.
That time, plain chest X-ray showed enlargement of the upper middle portion. After that, Hb was not decreased. Six days after intubation, she had hematoemesis. It was to stop the bleeding from the hematoma by insertion of SB tube. After stopping the bleeding from hematoma, SB tube and the tube to trachea were extubated. Ten months after EIS, there was no recurrence of the varix. It has been reported that hematoma after EIS was not miserable.
In this case, hematoma was very large to press the trachea. It was thought that the pressure of the hematoma was very high. Therefore, one of the causes of the hematoma was thought to be bleeding from the artery near the varix due to prick the artery during EIS.
