Spontaneous Intramural Oesophageal Dissection following Intramural Oesophageal Haematoma: A Case Report.

ABSTRACT:

Introduction

Intramural oesophageal dissection is a rare oesophageal injury that occurs primarily in the elderly and is associated with aggravating factors such as coagulopathy or anticoagulation therapy. It can be emetogenic, trauma-related, iatrogenic, or spontaneous.

Case presentation

We present an unusual case of an 87-year-old woman on low dose aspirin who presented with severe chest pain and sudden onset of haematemesis without prior history of forceful vomiting or Valsalva manoeuvres. An emergency upper gastrointestinal endoscopy confirmed the initial diagnosis of a spontaneous intramural oesophageal haematoma and a follow up computed tomography scan of the chest confirmed the presence of an intramural oesophageal dissection.

Conclusion

Spontaneous intramural o

SUBMITTER: Sun G 

PROVIDER: S-EPMC12037158 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature