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The largest series of patients (n = 10) with dissecting intramural haematoma of the oesophagus is described. The typical features, chest pain with odynophagia or dysphagia and minor haematemesis are usually present but not always elicited at presentation. If elicited, these symptoms should suggest the diagnosis and avoid mistaken attribution to a cardiac origin for the pain. Precipitating factors such as a forced Valsalva manoeuvre cannot be identified in at least half the cases. Early endoscopy is safe, and confirms the diagnosis when an haematoma within the oesophageal wall or the later appearances of a longitudinal ulcer are seen. Dissecting intramural haematoma of the oesophagus has an excellent prognosis when managed conservatively.
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
January 2005,
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
October 2000,
European journal of gastroenterology & hepatology,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
February 1999,
QJM : monthly journal of the Association of Physicians,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
July 2019,
BMJ case reports,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
December 1985,
The British journal of surgery,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
July 1986,
The British journal of surgery,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
July 2011,
Internal medicine journal,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
May 1983,
Thorax,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
December 1980,
Thorax,
A S McIntyre, and
R Ayres, and
J Atherton, and
R C Spiller, and
R Cockel
May 1981,
Endoscopy,
