CTICasesEsophageal Intramural Hematoma
Imaging findings
CT scan of the neck and chest reveals a massive, high-density intramural column of blood within the esophageal wall, associated with active contrast extravasation on the arterial phase. Pleural effusions and compressive atelectasis are also present.
Key takeaways
Intramural hematoma of the esophagus is a rare complication that can occur after mechanical trauma, such as esophageal dilation or severe retching. The risk of extensive hematoma formation and associated active hemorrhage is significantly increased in patients on anticoagulant therapy like warfarin.
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