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Esophageal hematoma
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Esophageal hematoma

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Contributors: Michael W. Winter MD, Christine Osborne MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

Esophageal hematoma is a rare condition that can occur spontaneously or in the setting of trauma, toxic ingestions, or as a complication of medical procedures. Esophageal hematomas occur more frequently in women, elderly patients, and patients treated with anticoagulants. Risk factors include underlying coagulopathies, recent esophageal instrumentation (ie, endoscopy, nasogastric or endotracheal tube placement), foreign body ingestion, toxic ingestion, or blunt trauma to the neck or chest.

Patients with spontaneous intramural esophageal hematoma typically present with abrupt, severe retrosternal or epigastric pain with or without radiation that is often aggravated by swallowing. It is often associated with dysphagia or odynophagia. Hematemesis may be present.

Codes

ICD10CM:
K22.8 – Other specified diseases of esophagus

SNOMEDCT:
262790002 – Esophageal Hematoma

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed: 12/15/2017
Last Updated: 12/15/2017
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Esophageal hematoma
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Esophageal hematoma : Dysphagia, Hematemesis, Retrosternal chest pain
Copyright © 2019 VisualDx®. All rights reserved.