Abstract
Esophageal intramural hematoma is a rare complication of endoscopic injection sclerotherapy (EIS). Here we present a patient with liver cirrhosis and developed esophageal intramural hematoma after EIS. A 55-year-old male was admitted to Toyokawa City Hospital with a complaint of melena. He was diagnosed to have a rupture of esophageal varices and elective EIS was performed twice. After the second EIS, he presented nausea, dysphagia and substernalpain. Esophagogastroduodenoscopy (EGD) and computed tomography scan revealed complete obstruction of the esophageal lumen due to dissecting intramural hematoma . He was treated conservatively and his symptoms subsided after 6 days . The resolution of intramural hematoma was demonstrated on EGD 65 days after the onset.
