RESUMEN
A 59-year-old woman presented with pharyngeal discomfort and dysphagia starting the previous day. Esophagogastroduodenoscopy revealed a longitudinal reddish area and hematoma mainly on the left wall of the esophagus. On the previous day, she had felt a piece of meat sticking in her throat while eating; she therefore rapidly gulped down some hot coffee to hasten the passage of the meat. Based on the history, we diagnosed her endoscopic findings as esophageal hematoma and thermal injury associated with hot coffee. We herein describe a case of an acute esophageal hematoma and thermal injury and the clinical course following endoscopy.
Asunto(s)
Quemaduras/diagnóstico por imagen , Quemaduras/terapia , Café/efectos adversos , Neoplasias Esofágicas/diagnóstico por imagen , Neoplasias Esofágicas/terapia , Hematoma/diagnóstico por imagen , Hematoma/terapia , Quemaduras/fisiopatología , Endoscopía del Sistema Digestivo/métodos , Neoplasias Esofágicas/fisiopatología , Femenino , Hematoma/fisiopatología , Humanos , Persona de Mediana Edad , Resultado del TratamientoRESUMEN
A 59-year-old woman had been admitted to our hospital every two months for over a past year because of severe right abdominal pain. Colonoscopy revealed dark blue mucosa extending from the cecum to the transverse colon, and abdominal computed tomography showed wall thickening and linear calcification along the wall from the cecum to the transverse colon. Based on these findings, the patient was given a diagnosis of idiopathic mesenteric phlebosclerosis. Subsequently, we found that she had been a long-term user of a Chinese herbal product containing Gardeniae fructus for allergic rhinitis. After discontinuing the product, the patient has been free of abdominal pain for a year.