Esophageal submucosal hematoma possibly caused by gastric tube insertion under general anesthesia

Yuri Fujimoto; Kazuhiro Shirozu; Noritoshi Shirozu; Kozaburo Akiyoshi; Ataru Nishimura; Sho Kawasaki; Yoshimasa Motoyama; Tadashi Kandabashi; Koji Lihara; Sumio Hoka

doi:10.1213/XAA.0000000000000376

Esophageal submucosal hematoma possibly caused by gastric tube insertion under general anesthesia

Yuri Fujimoto, Kazuhiro Shirozu, Noritoshi Shirozu, Kozaburo Akiyoshi, Ataru Nishimura, Sho Kawasaki, Yoshimasa Motoyama, Tadashi Kandabashi, Koji Lihara, Sumio Hoka

Research output: Chapter in Book/Report/Conference proceeding › Chapter

4 Citations (Scopus)

Abstract

We present a ease of an esophageal submucosal hematoma that developed after endovascular treatment for coil embolization for an unruptured cerebral aneurysm. The patient had received antiplatelet therapy before surgery and anticoagulation therapy during surgery. The orogastric tube was removed at case end with sustained negative pressure. After surgery, the patient reported chest and back pain and was diagnosed with an esophageal submucosal hematoma. The hematoma might have been related to the gastric tube insertion or removal. Providers should keep in mind the possibility of this complication when a patient who was given antithrombotic therapy reports chest or back pain after surgery.

Original language	English
Title of host publication	100 Selected Case Reports from Anesthesia and Analgesia
Publisher	Wolters Kluwer Health
ISBN (Electronic)	9781975115333
ISBN (Print)	9781975115326
DOIs	https://doi.org/10.1213/XAA.0000000000000376
Publication status	Published - Jan 1 2018

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.1213/XAA.0000000000000376

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title = "Esophageal submucosal hematoma possibly caused by gastric tube insertion under general anesthesia",

abstract = "We present a ease of an esophageal submucosal hematoma that developed after endovascular treatment for coil embolization for an unruptured cerebral aneurysm. The patient had received antiplatelet therapy before surgery and anticoagulation therapy during surgery. The orogastric tube was removed at case end with sustained negative pressure. After surgery, the patient reported chest and back pain and was diagnosed with an esophageal submucosal hematoma. The hematoma might have been related to the gastric tube insertion or removal. Providers should keep in mind the possibility of this complication when a patient who was given antithrombotic therapy reports chest or back pain after surgery.",

author = "Yuri Fujimoto and Kazuhiro Shirozu and Noritoshi Shirozu and Kozaburo Akiyoshi and Ataru Nishimura and Sho Kawasaki and Yoshimasa Motoyama and Tadashi Kandabashi and Koji Lihara and Sumio Hoka",

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T1 - Esophageal submucosal hematoma possibly caused by gastric tube insertion under general anesthesia

AU - Fujimoto, Yuri

AU - Shirozu, Kazuhiro

AU - Shirozu, Noritoshi

AU - Akiyoshi, Kozaburo

AU - Nishimura, Ataru

AU - Kawasaki, Sho

AU - Motoyama, Yoshimasa

AU - Kandabashi, Tadashi

AU - Lihara, Koji

AU - Hoka, Sumio

PY - 2018/1/1

Y1 - 2018/1/1

N2 - We present a ease of an esophageal submucosal hematoma that developed after endovascular treatment for coil embolization for an unruptured cerebral aneurysm. The patient had received antiplatelet therapy before surgery and anticoagulation therapy during surgery. The orogastric tube was removed at case end with sustained negative pressure. After surgery, the patient reported chest and back pain and was diagnosed with an esophageal submucosal hematoma. The hematoma might have been related to the gastric tube insertion or removal. Providers should keep in mind the possibility of this complication when a patient who was given antithrombotic therapy reports chest or back pain after surgery.

AB - We present a ease of an esophageal submucosal hematoma that developed after endovascular treatment for coil embolization for an unruptured cerebral aneurysm. The patient had received antiplatelet therapy before surgery and anticoagulation therapy during surgery. The orogastric tube was removed at case end with sustained negative pressure. After surgery, the patient reported chest and back pain and was diagnosed with an esophageal submucosal hematoma. The hematoma might have been related to the gastric tube insertion or removal. Providers should keep in mind the possibility of this complication when a patient who was given antithrombotic therapy reports chest or back pain after surgery.

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BT - 100 Selected Case Reports from Anesthesia and Analgesia

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Esophageal submucosal hematoma possibly caused by gastric tube insertion under general anesthesia

Abstract

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