PMC9839296_01
Endoscopic view of esophageal intramural hematoma obstructing the lumen.
ac9-10-e00957-g001.jpg
PMC9839296_01_ac9-10-e00957-g001.jpg
F1
On POD 2, EGD was performed and revealed a dilated proximal esophagus with a large IEH occluding the esophagus from 24 to 30 cm from the incisors (Figure 1).
Esophagram showing contrast from nasogastric tube pooling in the proximal esophagus and a curvilinear margin (secondary to the mass effect). White arrow indicates the nasogastric tube.
ac9-10-e00957-g002.jpg
PMC9839296_01_ac9-10-e00957-g002.jpg
F2
An esophagogram demonstrated the contrast material in the proximal to mid esophagus with a NGT in the proximal esophagus (Figure 2).
Contrast computed tomography scan showing esophageal hematoma (white arrow) with associated hemorrhagic effusion (blue arrow).
ac9-10-e00957-g003.jpg
PMC9839296_01_ac9-10-e00957-g003.jpg
F3
A concomitant chest CT scan revealed interval increase in size of the IEH with blood tracking into the left crus, and a new left hemothorax (Figure 3).
Esophagram showing transit of contrast into the stomach without extravasations on postoperative day 11 (A and B). Esophagram without evidence of contrast leak at 2 months postsurgery (C). Esophagram without evidence of contrast leak at 6 months postsurgery (D).
ac9-10-e00957-g004.jpg
PMC9839296_01_ac9-10-e00957-g004.jpg
F4
A repeat esophagogram on POD 11 showed transit of contrast material into the stomach, without any contrast extravasation (Figure 4). The outpatient follow-up esophagogram at months 2 and 6 demonstrated persistent healing (Figure 4).