Esophageal hematoma
Alerts and Notices
Synopsis
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
- Myocardial infarction
- Caustic ingestion
- Pill esophagitis
- Esophageal spasm
- Acute gastritis
- Viral gastroenteritis
- Peptic ulcer disease
- Mallory-Weiss syndrome
- Zenker diverticulum
- Eosinophilic esophagitis
- Gastroesophageal reflux disease
- Esophageal motility disorders (eg, achalasia)
- Esophageal foreign body
- Esophageal stricture
- Pulmonary embolism
- Mediastinal mass
- Aortic dissection
- Boerhaave's tear (see spontaneous rupture of esophagus)
- Candidal or herpes simplex esophagitis
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.Subscription Required
References
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Last Reviewed:12/15/2017
Last Updated:12/15/2017
Last Updated:12/15/2017