Dissecting hematoma of the esophagus as a differential diagnosis of acute chest pain
DOI:
https://doi.org/10.22516/25007440.684Keywords:
Intramural hematoma of the esophagus (IHE), Acute myocardial infarction, Right coronary artery, Electrocardiogram, Upper gastrointestinal endoscopy, Computed tomography, Magnetic resonance imagingAbstract
Chest pain is a very common reason for consultation in the emergency department. An adequate approach to the patient, including medical history, physical examination and initial laboratory tests, is crucial for determining possible differential diagnoses. The following is the case of a 71-year-old patient that visited the emergency room due to severe retrosternal pain after food consumption. In view of the persistence of pain and negative cardiac biomarkers, and after ruling out aortic disease, the patient underwent an endoscopy that showed dissecting hematoma of the esophagus. The prognosis is generally favorable, but a thorough medical history is required to suspect it.
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