Case report demonstrating improved esophageal hematoma outcomes after endoscopic intervention in a young man, suggesting effective care despite prior treatment failure.
We present the case of a young man with no notable medical history and who was not on anticoagulant or antiplatelet therapy but presented with chest pain shortly and melena after eating nuts. He had a large 20-cm dissecting intramural hematoma in the esophagus. Despite providing proton pump inhibitors as conservative treatment for 2 days, his chest discomfort persisted and hemoglobin level declined substantially; thus, endoscopic hematoma fenestration was performed. Repeat esophagogastroduodenoscopy 1 week postoperatively revealed substantial improvement in esophageal hematoma, with notable mucosal regeneration.
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Wang et al. (2026) studied this question.
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