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Three Cases of Esophageal Submucosal Hematoma after Coiling for Unruptured Cerebral or Intracranial Aneurysms Takashi FUJII 1 , Hidenori OISHI 1,2 , Atsuko HARA 3 , Kosuke TERANISHI 2 , Kenji YATOMI 2 , Munetaka YAMAMOTO 2 1Department of Neuroendovascular Therapy, Juntendo University Faculty of Medicine 2Department of Neurosurgery, Juntendo University Faculty of Medicine 3Department of Anesthesiology, Juntendo University Faculty of Medicine Keyword: esophageal submucosal hematoma , intracranial aneurysm , coiling , stent assist , antiplatelet pp.551-558
Published Date 2019/5/10
DOI https://doi.org/10.11477/mf.1436203980
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 We report three cases of esophageal submucosal hematoma after treatment of unruptured intracranial aneurysms. All cases were in women with a mean age of 67.7 years. They were administered anti-platelet drugs before undergoing operations to deliver stents. All cases were administered general heparinization during the operation. All three cases developed sudden-onset hemoptysis or epigastric pain. The medical treatments included the temporary cessation or reduction of antiplatelet therapy and all cases were discharged with symptom cure and with the appearance of gastric intestinal fiber on computed tomography imaging. Esophageal submucosal hematoma has a good prognosis with medical therapy. We should consider the potential for esophageal submucosal hematoma after hemoptysis or epigastric pain after coiling of unruptured intracranial aneurysms that require antiplatelet or anticoagulant therapies.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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