Intramural Esophageal Hematoma Secondary to Food Ingestion

Bashar Sharma; Dhruv Lowe; Marsha Antoine; Mili Shah; Ronald Szyjkowski

doi:10.7759/cureus.5623

Intramural Esophageal Hematoma Secondary to Food Ingestion

Cureus. 2019 Sep 11;11(9):e5623. doi: 10.7759/cureus.5623.

Authors

Bashar Sharma¹, Dhruv Lowe², Marsha Antoine¹, Mili Shah¹, Ronald Szyjkowski²

Affiliations

¹ Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA.
² Gastroenterology, State University of New York Upstate Medical University, Syracuse, USA.

Abstract

Intramural esophageal hematoma (IEH) is a rare cause of submucosal esophageal bleeding and it is on the spectrum of esophageal wall injury along with mucosal tears (Mallory-Weiss syndrome) and full thickness perforation (Boerhaave's syndrome). Its risk factors include coagulopathy, trauma (foreign body ingestion or esophageal instrumentation) or it can happen spontaneously. It presents with a triad of chest pain, dysphagia, and hematemesis; however, the triad is only present in 35% of patients. We are presenting a case of IEH secondary to food ingestion that was managed successfully by conservative measures.

Keywords: esophageal hematoma; esophageal wall injury; food ingestion.

Publication types

Case Reports