Spontaneous esophageal hematoma in a patient with atrial fibrillation.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23438542.
- Also identified by DOI 10.1016/j.athoracsur.2012.07.063.
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Abstract
We report a case of a spontaneous esophageal hematoma in an anticoagulated patient with atrial fibrillation previously complicated by a cerebrovascular accident. A multidisciplinary discussion resulted in holding of anticoagulation until the esophageal hematoma resolved. The patient was managed nonoperatively and discharged, but returned with a new neurologic deficit 3 weeks later. Aspirin treatment was resumed. After complete resolution of hematoma on outpatient scans, warfarin treatment was restarted. The challenges of managing an esophageal hematoma in a patient requiring anticoagulation are discussed.
Medical subject headings
- Anticoagulants
- Atrial Fibrillation
- Esophageal Diseases
- Hematoma
- Stroke