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Oesophageal dissection after thrombolytic treatment for myocardial infarction.
  1. F Jishi,
  2. C E Sissons,
  3. E J Silverstone,
  4. J F Coakley,
  5. F Fraser
  1. Wrexham Maelor Hospital, Clwyd.


    A 62 year old woman admitted with a history suggesting acute myocardial infarction had thrombolytic treatment with anisoylated plasminogen-streptokinase activator complex, which resulted in submucosal haemorrhage in the oesophagus; this caused dissection of the wall of the oesophagus and complete dysphagia. The haematoma resolved spontaneously, leaving behind a diverticulum, with reduced peristalsis and delayed emptying but no obstruction.

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