Intramural Hematoma of the Esophagus as a Complication of Laparoscopic Cholecystectomy

Stanislaw R and Romanowska M

Department of General Surgery, The John Paul’s II Western Hospital in Grodzisk Mazowiecki, Poland

^*Correspondance to: Rzadkowski Stanislaw 

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Abstract:

We present a case of an intramural hematoma of the esophagus in a patient undergoing routine laparoscopic cholecystectomy. This uncommon condition predominantly affects women and is often mistaken for cardiovascular or other urgent digestive disorders. The typical clinical signs include a triad of chest pain, dysphagia and hemoptysis. The intramural hematoma of the esophagus can be triggered by factors such as the Valsalva maneuver, mechanical trauma, and coagulopathies, though spontaneous occurrences are also documented. Diagnostic methods such as chest imaging (including computed tomography or magnetic resonance imaging) and upper gastrointestinal endoscopy are valuable for identifying this condition. Chest imaging provides detailed visualization of the hematoma, while endoscopy allows direct examination of the esophageal lining to confirm the presence of a hematoma and rule out other potential issues. Treatment is generally conservative involving rest, pain management, parenteral feeding and monitoring for complications. In most cases, the prognosis is favorable, with full recovery expected within a few weeks.

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Cite the Article:

Stanislaw R, Romanowska M. Intramural Hematoma of the Esophagus as a Complication of Laparoscopic Cholecystectomy. World J Surg Surgical Res. 2024; 7: 1563..