Complete esophageal obstruction secondary to dissecting intramural hematoma after endoscopic variceal sclerotherapy

Endoscopic variceal sclerotherapy (EVS) is an accepted alternative to surgery in many patients with bleeding esophageal varices. Esophageal ulceration is a common sequelae of EVS with chest pain, stricture, and perforation occurring less frequently. We present a patient with Laennec's cirrhosis and coagulopathy who developed an obstructing esophageal hematoma caused by submucosal dissection after two EVS treatments.