Intramural hematoma of the esophagus (IHE) is an uncommon form of esophageal injury, which may be an intermediate of mucosal tear (Mallory-Weiss syndrome) or transmural rupture (Boerhaave's syndrome). To date, the pathogenesis of IHE has not been well documented. IHE may occur within the submucosal layer of the esophagus following dissection of the mucosa. The most commonly presented symptoms a...

A 71-year-old woman with primary myelofibrosis and esophageal varices was admitted for her first rubber band ligation procedure (platelet count, 58000/mm3; partial thromboplastin time, 33.4 seconds; international normalized ratio, 1.28). At endoscopy, the esophageal mucosa was extremely fragile and difficult to aspirate into the ligation device. Three of the six rubber bands placed at the gastr...

BACKGROUND Esophagogastroduodenal pneumatosis is the presence of air in esophagus, stomach, and duodenum simultaneously, which have never been described in the literature. Intramural duodenal hematoma (IDH) rarely occurs after endoscopic intervention. The diagnosis and treatment in both conditions are great challenge in daily practice. CASE PRESENTATION A 70-year-old male patient, who had bee...

Intramural hematoma of the esophagus (IHE) is an uncommon esophageal injury. Diagnosis requires high index of suspicion as it can mimic various other cardiovascular, pulmonary, mediastinal or esophageal diseases. Although multiple imaging modalities have been reported to be useful, CT with intravenous contrast should be the imaging modality of choice if not contraindicated. Treatment of IHE is ...