case_images: PMC9839296_01
case_images: Endoscopic view of esophageal intramural hematoma obstructing the lumen.
case_images: ac9-10-e00957-g001.jpg
case_images: PMC9839296_01_ac9-10-e00957-g001.jpg
case_images: F1
case_images: 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).
case_images: 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.
case_images: ac9-10-e00957-g002.jpg
case_images: PMC9839296_01_ac9-10-e00957-g002.jpg
case_images: F2
case_images: An esophagogram demonstrated the contrast material in the proximal to mid esophagus with a NGT in the proximal esophagus (Figure 2).
case_images: Contrast computed tomography scan showing esophageal hematoma (white arrow) with associated hemorrhagic effusion (blue arrow).
case_images: ac9-10-e00957-g003.jpg
case_images: PMC9839296_01_ac9-10-e00957-g003.jpg
case_images: F3
case_images: 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).
case_images: 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).
case_images: ac9-10-e00957-g004.jpg
case_images: PMC9839296_01_ac9-10-e00957-g004.jpg
case_images: F4
case_images: 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).