case_images: PMC9217597_01
case_images: ECG showing atrial fibrillation rhythm.
case_images: CRIM2022-5636989.001.jpg
case_images: PMC9217597_01_CRIM2022-5636989.001.jpg
case_images: fig1
case_images: Electrocardiogram (EKG) was obtained and showed atrial fibrillation rhythm with nonspecific ST deviation (Figure 1).
case_images: Contrast-enhanced axial and coronal computed tomography of the chest showing an abnormal esophageal contour beginning about 16 cm from incisura extending about 20 cm, terminating on LES ((a), blue arrows). The CT images clearly show esophageal dilatation with a maximum lesion size of 5 x 2.2 cm ((b), red lines), irregularity, and tracheal deviation caused by hematoma ((c), green arrow) (date performed: December 21, 2021).
case_images: CRIM2022-5636989.002.jpg
case_images: PMC9217597_01_CRIM2022-5636989.002.jpg
case_images: fig2
case_images: The lesion was detected by chest CT scan and upper gastrointestinal tract radiographic study after barium ingestion (Figures 2 and 3).
case_images: Anteroposterior (AP) and lateral (LAT) chest radiography after barium ingestion showed a mildly dilated and irregular esophageal lumen causing asymmetric wall thickness, especially in anteroposterior projection (red arrows) (date performed: December 22, 2021).
case_images: CRIM2022-5636989.003.jpg
case_images: PMC9217597_01_CRIM2022-5636989.003.jpg
case_images: fig3
case_images: The lesion was detected by chest CT scan and upper gastrointestinal tract radiographic study after barium ingestion (Figures 2 and 3).
case_images: Endoscopic view of esophageal lumen demonstrating extensive mural hemorrhage with clot formation, intraluminal bulging, and significant narrowing (date performed: December 21, 2021).
case_images: CRIM2022-5636989.004.jpg
case_images: PMC9217597_01_CRIM2022-5636989.004.jpg
case_images: fig4
case_images: The next step was upper gastrointestinal endoscopy, which demonstrated extensive mural hemorrhage with clot formation in esophageal study (Figure 4).