Intramural Esophageal Hematoma With Associated Hemothorax

Area of Science:

• Gastroenterology
• Thoracic Surgery

Background:

• Intramural esophageal hematoma (IEH) is a rare esophageal wall injury.
• Symptoms are nonspecific, and causes include trauma or spontaneous occurrence.
• Diagnosis is often via CT or EGD, with conservative management typical.

Observation:

• A patient presented with an obstructing IEH.
• This was discovered after an unrelated surgical admission.
• Associated hemothorax was also noted.

Findings:

• IEH is usually an isolated esophageal finding.
• Concurrent hemothorax is a rare presentation.
• Obstructing IEH with hemothorax requires careful consideration.

Implications:

• This case expands the known spectrum of IEH complications.
• Highlights the importance of considering esophageal injury in unexplained thoracic conditions.
• May inform diagnostic and management strategies for rare IEH presentations.