title: Achalasia combined with esophageal intramural hematoma: case report and literature review.
abstract: A 62-year-old male patient was admitted to our hospital due to severe chest pain, odynophagia, and hematemesis. Chest computed tomography showed an esophageal submucosal tumor. Esophagogastroduodenoscopy (EGD) revealed a longitudinal purplish bulging tumor of the esophagus. Endoscopic ultrasound (EUS) showed a mixed echoic tumor with partial liquefaction from the submucosal layer. The patient was diagnosed with esophageal intramural hematoma as well as achalasia by upper gastrointestinal endoscopy, esophagography and esophageal manometry. The patient was managed conservatively with intravenous nutrition, and oral feeding was discontinued. Follow-up EGD and EUS showed complete recovery of the esophageal wall, and finally, the patient underwent endoscopic dilatation for achalasia. The patient was symptom free at the time when we wrote this manuscript.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wen Chang Road, Taipei 111, Taiwan, China. chu2235@yahoo.com
authors.forename: Yin-Yi
authors.initials: YY
authors.lastname: Chu
authors.forename: Kai-Feng
authors.initials: KF
authors.lastname: Sung
authors.forename: Soh-Ching
authors.initials: SC
authors.lastname: Ng
authors.forename: Hao-Tsai
authors.initials: HT
authors.lastname: Cheng
authors.forename: Cheng-Tang
authors.initials: CT
authors.lastname: Chiu
mesh_terms: D002637:Chest Pain / Q000209:etiology; D016145:Endoscopy, Digestive System; D004931:Esophageal Achalasia / Q000209:etiology / Q000473:pathology; D004938:Esophageal Neoplasms / Q000150:complications / Q000473:pathology; D006406:Hematoma / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged