Intramural hematoma of the esophagus (IHE) is an uncommon form of esophageal injury, which may be an intermediate of mucosal tear (Mallory-Weiss syndrome) or transmural rupture (Boerhaave's syndrome). To date, the pathogenesis of IHE has not been well documented. IHE may occur within the submucosal layer of the esophagus following dissection of the mucosa. The most commonly presented symptoms are sudden retrosternal pain, dysphagia and hematemesis. The disorder can occur spontaneously or secondarily to trauma. In this report, we present a case of IHE which occurred after endoscopic biopsy and was recovered following conservative management in a patient who was taking long-term aspirin medication.

Citations

Citations to this article as recorded by  

• A case of spontaneous esophageal submucosal hematoma
  Shintaro Uchida, Hideyuki Saito, Kengo Kuriyama, Tomonori Yoshida, Keigo Hara, Makoto Sakai, Makoto Sohda, Hiroshi Saeki, Ken Shirabe
  Clinical Journal of Gastroenterology.2022; 15(3): 522.     CrossRef
• Submucosal hematoma with a wide range of lesions, severe condition and atypical clinical symptoms: A case report
  Liang Liu, Xing-Jie Shen, Li-Jun Xue, Shu-Kun Yao, Jing-Yu Zhu
  World Journal of Clinical Cases.2021; 9(20): 5683.     CrossRef
• Massive bleeding due to dissecting esophageal hematoma: A diagnostic dilemma
  Şehmus ÖLMEZ, Adnan TAŞ, Banu KARA, Bünyamin SARITAŞ
  Endoskopi Gastrointestinal.2018; 26(2): 66.     CrossRef
• Esophageal submucosal hematoma developed after endovascular surgery for unruptured cerebral aneurysm under general anesthesia: a case report
  Sachiko Ito, Shihoko Iwata, Izumi Kondo, Motoyo Iwade, Makoto Ozaki, Tatsuya Ishikawa, Takakazu Kawamata
  JA Clinical Reports.2017;[Epub]     CrossRef
• Intramural esophageal dissection caused by upper endoscopy
  A.F. Romano-Munive, G. Grajales-Figueroa, F.I. Téllez-Ávila
  QJM.2016; 109(1): 73.     CrossRef
• Esophageal Submucosal Hematoma Possibly Caused by Gastric Tube Insertion Under General Anesthesia
  Yuri Fujimoto, Kazuhiro Shirozu, Noritoshi Shirozu, Kozaburo Akiyoshi, Ataru Nishimura, Sho Kawasaki, Yoshimasa Motoyama, Tadashi Kandabashi, Koji Iihara, Sumio Hoka
  A & A Case Reports.2016; 7(8): 169.     CrossRef
• Acute oesophageal symptoms
  SM Noor Hossain, John de Caestecker
  Clinical Medicine.2015; 15(5): 477.     CrossRef