Intramural hematoma of the esophagus after thrombolysis for ischemic stroke

Mario Jorge Silva, Joana Saiote, Ana Paiva Nunes, Pedro Duarte

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


Intramural dissecting hematoma is an unusual esophageal condition with a threatening presentation but excellent prognosiswhen managed conservatively.Wereport the case of an 88-year-oldwomanwho developed an intramural hematoma of the esophagus after intravenous thrombolysis for an acute ischemic stroke. Before thrombolysis, nasogastric intubation was attempted unsuccessfully. She was kept on nil by mouth, intravenous hydration, proton pump inhibitor, antiemetics, and an antibiotic initiated 2 days before for periodontal disease. The esophageal hematoma regressed, and she resumed oral diet asymptomatically. To our knowledge, this is the first report of this type of lesion after thrombolysis for an ischemic stroke. A brief discussion and literature review are presented.

Original languageEnglish
Pages (from-to)481.e1-481.e2
JournalAmerican Journal of Emergency Medicine
Issue number3
Publication statusPublished - 2015


Dive into the research topics of 'Intramural hematoma of the esophagus after thrombolysis for ischemic stroke'. Together they form a unique fingerprint.

Cite this