[Thoracic pain, shock-inducing gastrointestinal bleeding]

Publication

[Thoracic pain, shock-inducing gastrointestinal bleeding]

Journal Paper/Review - Feb 1, 1994

Bauer S, Wirth H P, Flury R, Landolt U, Meyenberger Christa

Units

Gastroenterology/Hepatology

PubMed

8122060

Citation

Bauer S, Wirth H, Flury R, Landolt U, Meyenberger C. [Thoracic pain, shock-inducing gastrointestinal bleeding]. Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1994; 83:133-7.

Type

Journal Paper/Review (Deutsch)

Journal

Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1994; 83

Publication Date

Feb 1, 1994

Issn Print

1013-2058

Pages

133-7

Brief description/objective

A 65-year-old patient was referred to hospital with suspected myocardial infarction because of left-sided thoracic pain. A paresis of the left recurrent nerve of unknown etiology has been known for three years. Because of shock with anemia, upper gastrointestinal endoscopy was performed. A diverticulum-like lesion in the proximal esophagus was found to be the source of the bleeding. A contrast X-ray examination showed a cavity of approximately 2 x 2 cm originating from the proximal esophagus. Computerized tomography revealed a large mediastinal mass reaching from the thyroid to the diaphragm. An ultrasound-guided fine-needle puncture of this tumor, together with the endoscopical snare biopsies of the esophageal lesion, allowed the diagnosis of an anaplastic thyroid carcinoma with erosion of the esophagus. The patient responded well to palliative radiotherapy. The defect in the proximal esophagus refilled quickly. Nine months after radiotherapy the patient is doing well.