A case of submucosal hematoma of the esophagus noticed postoperatively

Rie Hosoi, Takeshi Yokoyama, Tomoaki Yatabe, Miho Hirohashi, Koichi Yamashita

Research output: Contribution to journalArticle

Abstract

We experienced a case of submucosal hematoma of the esophagus noticed after cervical anterior spinal fusion (ASF) between C7 and T1 for ossification of posterior longitudinal ligament (OPLL). The patient was a 68-year-old man, and no abnormality was found in the preoperative examinations. Anesthesia was induced and maintained with remifentanil, propofol and vecuronium. Tracheal intubation was performed using fiberscope uneventfully, and gastric tube and esophageal stethoscope were inserted into the esophagus smoothly. The operation was completed in 7 hours and 10 minutes. When we removed the gastric tube and the esophageal stethoscope after the operation, no bloody secretion was noticed. The next day, the patient complained of melena, and gastrointestinal endoscopy showed a submucosal hematoma extending from the posterior wall of the cervicothoracic border in the esophagus to the cardia. Submucosal hematoma of the esophagus is a rare complication. In this case, surgical procedure was suspected to have caused the hematoma, since the upper end of the hematoma corresponded to the surgical field.

Original languageEnglish
Pages (from-to)1545-1548
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume58
Issue number12
Publication statusPublished - Dec 2009
Externally publishedYes

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Hematoma
Esophagus
Stethoscopes
Stomach
Ossification of Posterior Longitudinal Ligament
Melena
Vecuronium Bromide
Spinal Fusion
Cardia
Gastrointestinal Endoscopy
Propofol
Intubation
Anesthesia

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Hosoi, R., Yokoyama, T., Yatabe, T., Hirohashi, M., & Yamashita, K. (2009). A case of submucosal hematoma of the esophagus noticed postoperatively. Japanese Journal of Anesthesiology, 58(12), 1545-1548.

A case of submucosal hematoma of the esophagus noticed postoperatively. / Hosoi, Rie; Yokoyama, Takeshi; Yatabe, Tomoaki; Hirohashi, Miho; Yamashita, Koichi.

In: Japanese Journal of Anesthesiology, Vol. 58, No. 12, 12.2009, p. 1545-1548.

Research output: Contribution to journalArticle

Hosoi, R, Yokoyama, T, Yatabe, T, Hirohashi, M & Yamashita, K 2009, 'A case of submucosal hematoma of the esophagus noticed postoperatively', Japanese Journal of Anesthesiology, vol. 58, no. 12, pp. 1545-1548.
Hosoi, Rie ; Yokoyama, Takeshi ; Yatabe, Tomoaki ; Hirohashi, Miho ; Yamashita, Koichi. / A case of submucosal hematoma of the esophagus noticed postoperatively. In: Japanese Journal of Anesthesiology. 2009 ; Vol. 58, No. 12. pp. 1545-1548.
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