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SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences
Esophageal hematoma
Other Resources UpToDate PubMed

Esophageal hematoma

Contributors: Michael W. Winter MD, Christine Osborne MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

Esophageal hematoma is a rare condition that can occur spontaneously or in the setting of trauma, toxic ingestions, or as a complication of medical procedures. Esophageal hematomas occur more frequently in women, elderly patients, and patients treated with anticoagulants. Risk factors include underlying coagulopathies, recent esophageal instrumentation (ie, endoscopy, nasogastric or endotracheal tube placement), foreign body ingestion, toxic ingestion, or blunt trauma to the neck or chest.

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:
K22.89 – Other specified disease of esophagus

SNOMEDCT:
262790002 – Esophageal Hematoma

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

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Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

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References

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Last Reviewed:12/14/2017
Last Updated:12/14/2017
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Esophageal hematoma
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A medical illustration showing key findings of Esophageal hematoma : Dysphagia, Hematemesis, Retrosternal chest pain
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