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Severe long esophageal stricture following hyperemesis gravidarum

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Abstract

We report a 32-year-old female patient with esophageal stricture thought to have been caused by hyperemesis gravidarum. Eleven months before admission she had been admitted to another hospital, because of hyperemesis gravidarum, at 26 weeks of gestation. Marked and recurrent vomiting occurred and her consciousness gradually worsened. Three weeks later, her baby was delivered by Cesarean section. Postpartum progress was uneventful except that she developed dysphagia 5 months after delivery. Esophagography and upper endoscopy demonstrated severe esophageal stricture. Endoscopic balloon dilatation was performed four times, but was unsuccessful. Blunt dissection of the esophagus was then performed. Histological examination demonstrated marked fibrosis in the submucosal layer and muscular hypertrophy. Esophageal glands were not identified. In this case, esophageal stricture might have been associated with severe esophagitis due to recurrent vomiting and reflux of gastric contents during hyperemesis gravidarum.

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Authors and Affiliations

  1. Department of Surgery, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka, 410-2295, Japan

    Shinsuke Sato, Takeo Maekawa, Koichi Sato, Hiroshi Maekawa, Kazutomo Ouchi, Mutsumi Sakurada, Tomoyuki Kushida & Motomi Nasu

  2. Department of Pathology, Juntendo University Shizuoka Hospital, Shizuoka, Japan

    Ryo Wada

  3. Department of Esophageal and Gastroenterological Surgery, Juntendo University School of Medicine, Tokyo, Japan

    Shinsuke Sato, Kazutomo Ouchi, Tomoyuki Kushida, Motomi Nasu & Masahiko Tsurumaru

Authors
  1. Shinsuke Sato
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  2. Takeo Maekawa
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  3. Koichi Sato
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  4. Hiroshi Maekawa
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  5. Kazutomo Ouchi
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  6. Mutsumi Sakurada
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  7. Tomoyuki Kushida
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  8. Motomi Nasu
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  9. Ryo Wada
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  10. Masahiko Tsurumaru
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Corresponding author

Correspondence to Shinsuke Sato.

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Sato, S., Maekawa, T., Sato, K. et al. Severe long esophageal stricture following hyperemesis gravidarum. Esophagus 3, 65–70 (2006). https://doi.org/10.1007/s10388-006-0075-7

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  • DOI: https://doi.org/10.1007/s10388-006-0075-7

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