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Korean J Gastrointest Endosc > Volume 40(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(2): 107-110.
식도 조직검사 후 발생하고 내시경 고무 결찰술로 악화된 식도 벽내혈종 1예
양재남ㆍ임윤정ㆍ강지훈ㆍ강현우ㆍ이준규ㆍ이용석*ㆍ최종순ㆍ이진호
동국대학교 의과대학 내과학교실, *영상의학교실, 병리학교실
Intramural Hematoma of the Esophagus after Endoscopic Pinch Biopsy and Endoscopic Band Ligation
Jae Nam Yang, M.D., Yun Jeong Lim, M.D., Ji Hun Kang, M.D., Hyoun Woo Kang, M.D., Jun Kyu Lee, M.D., Yong Seok Lee, M.D.*, Jong Sun Choi, M.D. and Jin Ho Lee, M.D.
Departments of Internal Medicine, *Radiology and Pathology, Dongguk University College of Medicine, Goyang, Korea
Abstract
Esophageal intramural hematoma (EIH) is an uncommon clinical entity among the acute esophageal injuries, and EIH predominantly occurs in middle-aged women. The pathogenesis of EIH has not been clarified, yet this. Seems to occur within the submucosal layer of the esophagus after dissection of the mucosa. EIH may occur spontaneously or secondary to trauma. Patients usually complain of a sudden onset of severe retrosternal chest pain, hematemesis, back pain or dysphagia. Most EIHs show improvement through conservative management, including fasting and intravenous hydration, and this usually completely recovers within a period of 2∼3 weeks. We report here on a case that EIH occurred after endoscopic pinch biopsy and endoscopic band ligation and this EIH was exacerbated in a patient who was taking long-term aspirin medication. (Korean J Gastrointest Endosc 2010;40: 107-110)
Key Words: Esophagus, Intramural hematoma, Biopsy, Endoscopic band ligation, Aspirin
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