Revista de otorrinolaringología y cirugía de cabeza y cuello
On-line version ISSN 0718-4816
PARDO J, Javiera; ABARCA A, Alfredo; WALKER J, Katherine and CELEDON L, Carlos. Massive esophageal hematoma with supraglottic extension: Report of a case and review of the literature. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2010, vol.70, n.3, pp. 237-244. ISSN 0718-4816. doi: 10.4067/S0718-48162010000300007.
We present a case of a 67 years old hipertense and diabetic male. The patient refered a sudden onset of chest pain associated with severe dysnea and audible stridor. Nasofibroscopy showed a supraglottic mass that obstructed an estimated 80%> of normal lumen, suggestive of an esophageal mass. Thorax CT scan revealed an ¡mage of a dissecting esophageal haematoma that compromised most of the esophageal extension, beggining at the laryngeal plane. The patient was managed by conservative means, through observation, analgesia and parenteral nutrition. Close follow up, by CT Scan as well as nasofibroscopy. The patient evolved well, with haematoma reabsorption and decrease of laryngeal obstruction being discharged after 10 days of hospitalization. We report a rare entity that presented in an unusual way.
Keywords : Esophageal hematoma; supraglottic extension; nasofibroscopy; computed tomography.