Abstract
Esophageal intramural hematoma is an uncommon disease. We report the case of a 77-year-old man who developed an esophageal intramural hematoma due to a thermal burn. The patient had a past history of cerebral infarction and was taking low-dose aspirin for the same. He began complaining of difficulty in swallowing after accidentally drinking hot shark fin soup. He was subsequently admitted to our hospital for close examination and treatment. Endoscopy revealed a dark purple submucosal hematoma in the lumen from the upper esophagus to the esophagogastric junction. He was diagnosed with an esophageal intramural hematoma due to a thermal burn and was administered conservative treatment. The patient's symptoms resolved by the 7th hospital day, and follow-up endoscopy revealed complete resolution of the hematoma. However, mucosal defects due to submucosal tears were observed in the entire esophagus, most of which healed by the 21st hospital day. The patient's recovery was otherwise uneventful, and he was discharged without symptoms on the 28th hospital day.
