Submucosal hematoma with a wide range of lesions, severe condition and atypical clinical symptoms: A case report
作者机构：Department of GastroenterologyCentral Hospital Affiliated to Shandong First Medical UniversityJinan 250011Shandong ProvinceChina Department of GastroenterologyJinan Central HospitalCheeloo College of MedicineShandong UniversityJinan 250011Shandong ProvinceChina Department of GastroenterologyChina-Japan Friendship HospitalBeijing 100029China
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第20期
页 面：5683-5688页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：Supported by Shandong Province Medical and Health Science and Technology Development Plan(Clinical Study of Minimally Invasive Treatment Under Endoscopy of Gastrointestinal Mucosa) No.2016WS0124
主 题：Submucosal hematoma Hypopharynx lower esophagus hirudin and panax notoginseng powder Gastroscopy Computed tomography Case report
摘 要：BACKGROUND Submucosal hematoma(SH)is one of the rare causes of upper gastrointestinal *** a rare and critical disease in clinical practice,it should be paid more attention to by clinicians to avoid missed diagnosis and *** of the esophageal submucosal hematomas have clear causes,including retrosternal pain,dysphagia,***,we report a rare case of SH extending from the hypopharynx to the lower esophagus caused by oral administration of hirudin and panax notoginseng powder,with atypical clinical *** a long submucosal hematoma has rarely been *** SUMMARY The patient was a 60-year-old male with a history of gastritis,hypertension,coronary heart disease,and coronary stent *** patient developed chest tiredness and heartburn after taking 10 capsules of a homemade mixture of hirudin and notoginseng powder in the previous 2 *** did not have hematemesis or black *** and chest computed tomography confirmed the diagnosis of SH,which ranged from the pharynx to the lower esophagus and was 35-40 cm in *** the diagnosis was confirmed,we performed active conservative treatment on the patient,and the patient recovered well and remained asymptomatic during the 26-mo *** SH is rare,and cases with atypical clinical symptoms may lead to misdiagnosis and missed *** of this disease can lead to serious clinical *** therapy is effective and the prognosis is good.
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