PMC5338307_01
Initial CT demonstrating the long intramural oesophageal haematoma ((a) sagital and (b) coronal view).
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This revealed a distal intramural oesophageal haematoma 36 mm in diameter with proximal oesophageal dilatation, extending down to the gastroesophageal junction (Figure 1).
Endoscopic view of intramural oesophageal haematoma projecting into the lumen.
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An upper gastrointestinal endoscopy demonstrated an anterolateral intramural haematoma at 20 cm extending to the gastrooesophageal junction (Figure 2), with no obvious underlying oesophageal mucosal lesion.
Follow-up CT showing resolving haematoma ((a) sagital and (b) coronal view).
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A repeat CT of the chest with IV and oral contrast ten days later demonstrated the haematoma had largely resolved (Figure 3).
Follow-up endoscopic view of resolved haematoma-nasojejunal tube shown in situ.
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On repeat upper gastrointestinal endoscopy two weeks later, the haematoma had completely resolved and the oesophageal mucosa appeared normal, excluding the presence of an underlying malignancy or any other predisposing lesion (Figure 4).