“Spontaneous Intramural Esophageal Hematoma Associated with Uncontrolled Hypertension: Case Report and Review”
Abstract
Introduction Intramural esophageal hematoma (IEH) is a rare entity in the spectrum of esophageal injuries that often present with symptoms, such as acute chest pain, dysphagia and/or hematemesis. Herein, we present an interesting case of spontaneous IEH in a patient with uncontrolled hypertension, in the absence of established predisposing factors. Case Presentation 61-years female, with a history of hypertension but no coagulopathy or anticoagulant/antiplatelet use, presented with sudden onset chest pain associated with complete dysphagia for 6 hours. She was found to have uncontrolled hypertension, with a blood pressure of 220/110 mmHg. She underwent computed tomography imaging of the chest followed by upper gastrointestinal endoscopy, which confirmed a diagnosis of spontaneous IEH. Conservative management and aggressive blood pressure control led to complete resolution of IEH within four weeks. Conclusion This case highlights the importance of considering spontaneous IEH in the differential diagnosis of acute-onset chest pain with dysphagia in hypertensive patients, particularly in those with atypical presentations.
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- In silico toxicology protocols
- QM7-X, a comprehensive dataset of quantum-mechanical properties spanning the chemical space of small organic molecules
- Quantum Informed Machine-Learning Potentials for Molecular Dynamics Simulations of CO2's Chemisorption and Diffusion in Mg-MOF-74
- In-silico strategies in nano-drug design: Bridging nanomaterials and pharmacological applications
- mRNA codon optimization with quantum computers
- The computational power of the human brain
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.