Esophagogastric Hematoma Mimicking a Malignant Neoplasm: Clinical Manifestations, Diagnosis, and Treatment Alex Geller, M.D., Christopher J. Gostout,

Slides:

Advertisements

Similar presentations

Clinical Pharmacology, Uses, and Adverse Reactions of Iodinated Contrast Agents: A Primer for the Non-radiologist Jeffrey J. Pasternak, MD, Eric E. Williamson,

Advertisements

My Treatment Approach to Hairy Cell Leukemia Rahul R. Naik, MD, Alan Saven, MD Mayo Clinic Proceedings Volume 87, Issue 1, Pages (January 2012) DOI:

THOMAS F. LÜSCHER, M.D. Mayo Clinic Proceedings

Managing Cancer Pain: Basic Principles and Invasive Treatments

Gastroesophageal Reflux in Infants and Children

Rachelina P. Bartlett, M. D. , Philip R. Greipp, M. D

ROBIN PATEL, M.D. Mayo Clinic Proceedings

Regression of Acquired Immunodeficiency Syndrome-Related Pulmonary Kaposi's Sarcoma After Highly Active Antiretroviral Therapy David M. Aboulafia, M.D.

87-Year-Old Woman With Painful Swallowing

Analysis of Unsuccessful Esophageal Stent Placements for Esophageal Perforation, Fistula, or Anastomotic Leak Richard K. Freeman, MD, Anthony J. Ascioti,

MARK A. NYMAN, M. D. , ROBERT S. SCHWARTZ, M. D. , JEROME F. BREEN, M

Evaluation of Proteinuria

Diagnostic Options for Assessment of Postmenopausal Bleeding

A 57-kg Tumor Mayo Clinic Proceedings

William L. Lanier, MD Mayo Clinic Proceedings

ALLEN M. WEINERT, M.D., THOMAS D. RIZZO, M.D. Mayo Clinic Proceedings

Omar A. Ali, MD, Nsidinanya Okike, MD, Robert G. Hogan, MD, Richard C

Rheumatoid Vasculitis Manifesting as Intra-abdominal Hemorrhage

Urinothorax: Unexpected Cause of a Pleural Effusion

68-Year-Old Woman With Dyspnea and Chest Pain

Gastroesophageal Reflux in Infants and Children

Sarcoidosis Mayo Clinic Proceedings

Patrick G. Dean, M. D. , P. Michael Davis, M. D. , Antonio G

Kyla D. Joubert, MD, Richard D. Betzold, MD, Matthew A. Steliga, MD

Mycobacterium avium Complex Lung Disease and Panhypopituitarism

70-Year-Old Woman With Chest Pain and New Diastolic Murmur 6 Months After Coronary Artery Bypass Grafting Stephanie L. Hines, MD, Joseph L. Blackshear,

64-Year-Old Man With Polyuria and Polydipsia

72-Year-Old Man With Anemia and Abdominal Pain

Malignant Pleural Mesothelioma

Pulmonary Infiltrates and Eosinophilia Associated With Sulfasalazine

Deep Venous Thrombosis of the Arm After Intravenous Immunoglobulin Infusion: Case Report and Literature Review of Intravenous Immunoglobulin-Related Thrombotic.

Surgery Versus Snacking as Treatment of Insulinoma

RICHARD K. WINKELMANN, M.D., Ph.D., J. CLARKE STEVENS, M.D.

Benign Superior Vena Cava Syndrome Due to Suppurative Mediastinal Lymphadenitis: Anterior Mediastinoscopic Management Debajit Roy, M.D., Kevin C. Thompson,

Management of Graves' Ophthalmopathy With Optic Nerve Involvement

Renal Cell Carcinoma Associated With Sarcoidlike Tissue Reaction

Prostate Cancer Masquerading as a Zygomatic Posttraumatic Mass

Adrenal Insufficiency From Bilateral Adrenal Hemorrhage

MIGUEL A. VALDOVINOS, M. D. , MICHAEL CAMILLERI, M. D. , BRUCE R

KEVIN G. MODER, M.D. Mayo Clinic Proceedings

Peripartum Cardiomyopathy Presenting as an Acute Myocardial Infarction

Splanchnic Artery Aneurysms

Simple and Useful Endoscopic Technique in the Re-Establishment of Esophageal Patency for the Treatment of a Completely Obstructed Esophagus Cliff K.

Insulinoma in a Patient With Annular Pancreas

Esophageal Bronchus The Annals of Thoracic Surgery

Regression of Acquired Immunodeficiency Syndrome-Related Pulmonary Kaposi's Sarcoma After Highly Active Antiretroviral Therapy David M. Aboulafia, M.D.

22- Year-Old Man With Abdominal Pain and Rash

Jack I Ramage, MD, Arnaldo B Feitoza, MD, Christopher J Gostout, MD

28-Year-Old Man With Severe Vertigo

Hepatocellular Carcinoma

Postoperative Trouble

71-Year-Old Man With Syncope and Chronic Leg Edema

Pulmonary Embolization of 2-Octyl Cyanoacrylate After Endoscopic Injection Therapy for Gastric Variceal Bleeding Otis B. Rickman, DO, James P. Utz, MD,

Toxoplasma Infection in Systemic Lupus Erythematosus Mimicking Lupus Cerebritis Doron Zamir, MD, Mary Amar, MD, Gavriel Groisman, MD, Paltiel Weiner,

70-Year-Old Man With Abdominal Pain and Weight Loss

Foreign Body Impaction in the Esophagus

Medical Treatment of Overactive Bladder: In Response

Mark A. Marinella, MD, Kenneth Greene, MD Mayo Clinic Proceedings

90-Year-Old Man With Fever and Melena

Pheochromocytoma in a Patient With End-Stage Renal Disease

Liposarcoma of the Pleura

30-Year-Old Man With Recurrent Episodes of Dyspnea

Successful Management of Esophageal Necrosis After Endovascular Repair of Chronic Type B Aortic Dissection Alexander Tobisch, MD, Harald Ittrich, MD,

Hypoxemia in Malignant Carcinoid Syndrome: A Case Attributed to Occult Lymphangitic Metastatic Involvement Dennis E. Amundson, D.O., Peter J. Weiss,

Peripheral Tissue Examination for Malignant Lesions of the Skin

Managing Cancer Pain: Basic Principles and Invasive Treatments

Isolated Antral Narrowing Associated With Gastrointestinal Cryptosporidiosis in Acquired Immunodeficiency Syndrome EUGENIO CERSOSIMO, M.D., Ph.D. Mayo.

74-Year-Old Woman With Dyspnea, Fever, and Cough

Esophagopericardial Fistulas

Pyopneumopericardium Attributed to an Esophagopericardial Fistula: Report of a Survivor and Review of the Literature WAYNE L. MILLER, M.D., MICHAEL J.

Presentation transcript:

Esophagogastric Hematoma Mimicking a Malignant Neoplasm: Clinical Manifestations, Diagnosis, and Treatment Alex Geller, M.D., Christopher J. Gostout, M.D. Mayo Clinic Proceedings Volume 73, Issue 4, Pages 342-345 (April 1998) DOI: 10.1016/S0025-6196(11)63700-2 Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 (case 1). On endoscopy, ulcerated submucosal mass is evident in mid-esophagus. Mayo Clinic Proceedings 1998 73, 342-345DOI: (10.1016/S0025-6196(11)63700-2) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 (case 1). On endoscopy, large deep malignant-appearing ulcer is evident within cardia. Mayo Clinic Proceedings 1998 73, 342-345DOI: (10.1016/S0025-6196(11)63700-2) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 (case 1). Chest computed tomographic scan, demonstrating soft tissue mass within esophagus that displaces lumen to the left. This appearance would be consistent with submucosal site of mass (arrows). Bilateral pleural effusions and coronary artery calcification are incidentally noted. Mayo Clinic Proceedings 1998 73, 342-345DOI: (10.1016/S0025-6196(11)63700-2) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 (case 1). Upper gastrointestinal series with use of contrast material, showing opacification of two lumens. Larger lumen represents normal esophageal lumen. Smaller lumen (false lumen) represents contrast material that has dissected outside lumen within the esophageal hematoma (double-barrel sign). Mayo Clinic Proceedings 1998 73, 342-345DOI: (10.1016/S0025-6196(11)63700-2) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions