A case of idiopathic gastroesophageal submucosal hematoma and its disappearance observed by endoscopy

J UOEH. 2014 Jun 1;36(2):123-8. doi: 10.7888/juoeh.36.123.

Abstract

A 74-year-old man was hospitalized due to hematemesis. Upper gastrointestinal endoscopy revealed a very large and dark red mass in the cardiac region of the stomach that extended from the upper esophagus. A biopsy specimen showed hemorrhagic tissue and no malignant cells. The tumor-like region ulcerated at 5 days after the administration of intravenous lansoprazole at a dose of 30 mg twice a day and resolved with scar formation at 2 months after a change to oral rabeprazole at a dose of 10 mg/day.We diagnosed the patient with gastroesophageal submucosal hematoma. Gastroesophageal submucosal hematoma is a rare complication. In this case, we could follow the process of its disappearance by endoscopy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Ulcer Agents / therapeutic use
  • Endoscopy, Gastrointestinal
  • Esophageal Diseases / pathology*
  • Esophagogastric Junction / pathology*
  • Gastrointestinal Hemorrhage / pathology
  • Hematoma / pathology*
  • Humans
  • Lansoprazole / therapeutic use
  • Male

Substances

  • Anti-Ulcer Agents
  • Lansoprazole