Year 2020 / Volume 112 / Number 2
Letter
A rare cause of esophageal mucosal and submucosal lesions

158

DOI: 10.17235/reed.2020.6531/2019

De-Feng Li, Zheng-Lei Xu, Jun Yao,

Abstract
A 45-year-old male was admitted with palpitations, chest discomfort and a swallowing obstruction of one hour duration after chewing a betel nut. The symptoms appeared within five minutes. His physical examination was unremarkable other than tachycardia and the results of routine laboratory testing were within the normal limits. An electrocardiogram showed sinus tachycardia (ST) and the echocardiography was normal. The patient was given routine oxygen, intravenous fluids and electrolyte replacement therapies. The symptoms of palpitation and chest discomfort were relieved after 30 minutes. However, the swallowing obstruction was not alleviated. The esophagogastroduodenoscopy showed a longitudinal hematoma and multiple superficial ulcers located 20 cm from the incisors down to the gastric cardia. Subsequently, an endoscopic ultrasonography (EUS) was performed, showing that the longitudinal hematoma originated from the submucosa. The swallowing obstruction was resolved after one week and re-examination by esophagogastroduodenoscopy showed healing of the esophageal lesions.
Share Button
New comment
Comments
No comments for this article
References
1. Deng JF, Ger J, Tsai WJ, Kao WF, Yang CC: Acute toxicities of betel nut: rare but probably overlooked events. J Toxicol Clin Toxicol 2001, 39:355-360.
Related articles
Citation tools
Li D, Xu Z, Yao J. A rare cause of esophageal mucosal and submucosal lesions. 6531/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 965 visits.
This article has been downloaded 106 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 26/07/2019

Accepted: 18/08/2019

Online First: 27/01/2020

Published: 07/02/2020

Article Online First time: 185 days

Article editing time: 196 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology