Endoscopic Ultrasound Images of Esophageal Intramural Hematoma

Abstract

KEY WORDSendoscopic ultrasound, esophageal intramural hematoma Esophageal intramural hematoma (EIH) is a type of esophageal traumatic injury that can occur spontaneously or secondarily. We report the case of a 79-year-old man with spontaneous EIH suffering from sudden onset of odynophagia. The esophageal lesion appeared as an atypical presentation mimicking malignancy on upper gastrointestinal endoscopy and mediastinal computed tomography. Endoscopic ultrasound revealed a thickened esophageal wall with a submucosal hypoechoic lesion and preservation of the sonographic layer pattern. We suggest that endoscopic ultrasound can play an important role in the diagnosis of EIH. ª