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ACG Case Rep J. 2015 Oct 09;3(1):29-30. doi: 10.14309/crj.2015.91. eCollection 2015 Oct.

Spontaneous Paraesophageal Hematoma.

ACG case reports journal

Jessica Yan, Courtney Walker, Pavani Chalasani

Affiliations

  1. Division of Internal Medicine, University of Arizona, Tucson, AZ.
  2. Arizona Hemophilia Treatment Center, University of Arizona Cancer Center, Tucson, AZ.

PMID: 26504872 PMCID: PMC4612752 DOI: 10.14309/crj.2015.91

Abstract

Spontaneous paraesophageal hematoma (SPH) likely shares a common etiology with spontaneous intramural esophageal hematoma (IEH). Patients with IEH typically present with hematemesis or melena leading to early detection and management, but patients with SPH do not have overt gastrointestinal bleeding on presentation. Management depends on the correction of the underlying causative factor. We present the first case of a spontaneous paraesophageal hematoma in a patient with hemophilia B. Awareness of this complication of hemophilia, its clinical manifestations, and imaging findings, allows for a timely diagnosis and appropriate management.

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