Oesophageal dissection after thrombolytic treatment for myocardial infarction.

Jishi, F; Sissons, C E; Silverstone, E J; Coakley, J F; Fraser, F · Thorax · 1992

case_report · Level V

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Abstract

A 62 year old woman admitted with a history suggesting acute myocardial infarction had thrombolytic treatment with anisoylated plasminogen-streptokinase activator complex, which resulted in submucosal haemorrhage in the oesophagus; this caused dissection of the wall of the oesophagus and complete dysphagia. The haematoma resolved spontaneously, leaving behind a diverticulum, with reduced peristalsis and delayed emptying but no obstruction.

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