PMC9217597_01
ECG showing atrial fibrillation rhythm.
CRIM2022-5636989.001.jpg
PMC9217597_01_CRIM2022-5636989.001.jpg
fig1
Electrocardiogram (EKG) was obtained and showed atrial fibrillation rhythm with nonspecific ST deviation (Figure 1).
Contrast-enhanced axial and coronal computed tomography of the chest showing an abnormal esophageal contour beginning about 16 cm from incisura extending about 20 cm, terminating on LES ((a), blue arrows). The CT images clearly show esophageal dilatation with a maximum lesion size of 5 x 2.2 cm ((b), red lines), irregularity, and tracheal deviation caused by hematoma ((c), green arrow) (date performed: December 21, 2021).
CRIM2022-5636989.002.jpg
PMC9217597_01_CRIM2022-5636989.002.jpg
fig2
The lesion was detected by chest CT scan and upper gastrointestinal tract radiographic study after barium ingestion (Figures 2 and 3).
Anteroposterior (AP) and lateral (LAT) chest radiography after barium ingestion showed a mildly dilated and irregular esophageal lumen causing asymmetric wall thickness, especially in anteroposterior projection (red arrows) (date performed: December 22, 2021).
CRIM2022-5636989.003.jpg
PMC9217597_01_CRIM2022-5636989.003.jpg
fig3
The lesion was detected by chest CT scan and upper gastrointestinal tract radiographic study after barium ingestion (Figures 2 and 3).
Endoscopic view of esophageal lumen demonstrating extensive mural hemorrhage with clot formation, intraluminal bulging, and significant narrowing (date performed: December 21, 2021).
CRIM2022-5636989.004.jpg
PMC9217597_01_CRIM2022-5636989.004.jpg
fig4
The next step was upper gastrointestinal endoscopy, which demonstrated extensive mural hemorrhage with clot formation in esophageal study (Figure 4).