Abstract
We report four cases of esophageal hematoma and emphasize that endoscopically and radiographically it may simulate a neoplasm. After a review of 26 cases, we found that patients with normal hemostasis often had esophageal hematoma occur distally after vomiting. Most of these hematomas probably originated from a Mallory-Weiss laceration. In contrast, patients with impaired hemostasis had esophageal hematoma occur proximally or at multiple sites. Many of these hematomas occurred spontaneously, without a history of vomiting, and probably resulted from impaired coagulation. Regardless of etiology most esophageal hematomas were associated with a benign course.
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The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army of Department of Defense.
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Shay, S.S., Berendson, R.A. & Johnson, L.F. Esophageal hematoma. Digest Dis Sci 26, 1019–1024 (1981). https://doi.org/10.1007/BF01314765
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DOI: https://doi.org/10.1007/BF01314765