PMC9260248_01
(A) Sagittal chest computed tomography (CT) image reconstruction showed the hematoma extending from the entrance of the esophagus to the gastroesophageal junction (yellow arrows). (B) Axial chest CT image reconstruction showed the hematoma occupying more than half of the lumen (yellow arrow). (C) Endoscopy revealed esophageal mucosal exfoliation in the upper third of the esophagus, (D) middle third of the esophagus, and (E) lower third of the esophagus.
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F1
An emergency computed tomography (CT) scan of the chest revealed a massive esophageal hematoma that extended from the entrance of the esophagus down to the gastroesophageal junction, occupying more than half of the lumen (Figures 1A,B); atrio-esophageal fistula was ruled out based on the chest CT scan and barium esophagram. Endoscopy later confirmed the diagnosis of esophageal hematoma and demonstrated esophageal mucosal exfoliation (Figures 1C-E).
Timeline.
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F2
The patient's timeline is shown in Figure 2.