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

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Presentation on theme: "Esophagogastric Hematoma Mimicking a Malignant Neoplasm: Clinical Manifestations, Diagnosis, and Treatment  Alex Geller, M.D., Christopher J. Gostout,"— Presentation transcript:

1 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 (April 1998) DOI: /S (11) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

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

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

4 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  , DOI: ( /S (11) ) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions

5 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  , DOI: ( /S (11) ) Copyright © 1998 Mayo Foundation for Medical Education and Research Terms and Conditions


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