Chu YY, Sung KF, Ng SC, Cheng HT, Chiu CT. Achalasia combined with esophageal intramural hematoma: Case report and literature review. World J Gastroenterol 2010; 16(42): 5391-5394 [PMID: 21072906 DOI: 10.3748/wjg.v16.i42.5391]
Corresponding Author of This Article
Yin-Yi Chu, MD, Division of Gastroenterology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wen Chang Road, Taipei 111, Taiwan, China. chu2235@yahoo.com
Article-Type of This Article
Case Report
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Yin-Yi Chu, Division of Gastroenterology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, China
Yin-Yi Chu, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kweishan, Taoyuan 333, Taiwan, China
Kai-Feng Sung, Hao-Tsai Cheng, Cheng-Tang Chiu, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kweishan, Taoyuan 333, Taiwan, China
Soh-Ching Ng, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Keelung 204, Taiwan, China
Author contributions: Chu YY wrote the paper and performed the examination; Sung KF managed the patient; Ng SC revised the paper; Cheng HT collected the data; Chiu CT supervised the research.
Correspondence to: Yin-Yi Chu, MD, Division of Gastroenterology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wen Chang Road, Taipei 111, Taiwan, China. chu2235@yahoo.com
Telephone: +886-2-27019566 Fax: +886-2-27099788
Received: June 21, 2010 Revised: July 28, 2010 Accepted: August 4, 2010 Published online: November 14, 2010
Abstract
A 62-year-old male patient was admitted to our hospital due to severe chest pain, odynophagia, and hematemesis. Chest computed tomography showed an esophageal submucosal tumor. Esophagogastroduodenoscopy (EGD) revealed a longitudinal purplish bulging tumor of the esophagus. Endoscopic ultrasound (EUS) showed a mixed echoic tumor with partial liquefaction from the submucosal layer. The patient was diagnosed with esophageal intramural hematoma as well as achalasia by upper gastrointestinal endoscopy, esophagography and esophageal manometry. The patient was managed conservatively with intravenous nutrition, and oral feeding was discontinued. Follow-up EGD and EUS showed complete recovery of the esophageal wall, and finally, the patient underwent endoscopic dilatation for achalasia. The patient was symptom free at the time when we wrote this manuscript.
