Case report reveals successful conservative treatment for esophageal hematoma in a patient on antiplatelets, suggesting effective management strategies.
Intramural esophageal hematoma is a rare differential diagnosis for retrosternal pain with dysphagia or hematemesis, especially in patients on antiplatelets. Computed tomography excludes aortic dissection and confirms the diagnosis. Temporary aspirin withdrawal and conservative management led to complete resolution by Day 3, with no recurrence at 6‐month follow‐up, avoiding unnecessary intervention.
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Lam et al. (2026) studied this question.
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