Two cases of spontaneous whole-segment esophageal submucosal hematoma and literature review
Esophageal submucosal hematoma(ESH)is a rare disease in clinical practice,with the initial symptom often being chest pain,which is easily confused with other chest pain diseases.This article retrospectively analyzes the clinical data,gastroscopy data,and chest CT data of two patients with spontaneous whole-segment ESH admitted to Anhui Wannan Rehabilitation Hospital.The two patients were elderly women who experienced sudden chest pain and dysphagia without obvious cause and were diagnosed through gastroscopy and chest CT.Upon admission,conservative treatments such as fasting,acid suppression,stomach protection,spasmolysis,anti-inflammation,and fluid replacement were performed.One patient experienced hematemesis on the third day of admission,while the other patient had bloody stools on the second day of admission.The patient's symptoms improved significantly,and they were successfully discharged on the 11th and 15th days,respectively.After one month.ESH disappeared and no recurrence was observed upon re-examination.Conservative treatment of two cases of ESH has achieved good clinical efficacy,especially in the case of hematoma decompression(hematemesis and bloody stool),which helps to improve the patient's symptoms.This article reviews the pathogenesis,clinical manifestations,diagnosis,treatment,and prognosis of ESH to improve the diagnosis and treatment level of clinical doctors.
万方数据
维普
