食道壁內血腫

Esophageal Intramural Hematoma

食道壁內血腫（esophageal intramural hematoma）是較罕見的食道傷害。我們報告一個食道壁內血腫的病例，最初在上消化道內視鏡底下表現為一個縱走的黏膜下腫塊，胸部電腦斷層及食道鋇劑攝影確立了壁內血腫的診斷。由於懷疑食道腫瘤，我們做了切片檢查，病人在切片後即改善吞嚥困難的症狀，並在住院第二日即開始進食。住院第七日第二次上消化道內視鏡下所見只剩一個縱走的食道潰瘍。從這一病例報告, 我們認為早期內視鏡治療可能會早期改善病人的症狀及縮短住院天數。

Esophageal intramural hematoma is a rare form of acute esophageal injuries. We describe a case of esophageal intramural hematoma initially appearing as a longitudinal submucosal bulge at upper endoscopy. Thoracic computed tomography and esophagogram were performed for confirming the diagnosis. Endoscopic Biopsy was performed for the suspected esophageal tumor. The patient’s symptoms resolved after biopsy and she resumed eating two days after admission. Endoscopy 7 days later showed a longitudinal esophageal ulcer and disappearance of the bulging mass. We suggest that early endoscopic intervention may improve life quality and shorten hospital stay.