title: Intramural hematoma of the esophagus after endoscopic pinch biopsy.
abstract: Intramural hematoma of the esophagus (IHE) is an uncommon form of esophageal injury, which may be an intermediate of mucosal tear (Mallory-Weiss syndrome) or transmural rupture (Boerhaave's syndrome). To date, the pathogenesis of IHE has not been well documented. IHE may occur within the submucosal layer of the esophagus following dissection of the mucosa. The most commonly presented symptoms are sudden retrosternal pain, dysphagia and hematemesis. The disorder can occur spontaneously or secondarily to trauma. In this report, we present a case of IHE which occurred after endoscopic biopsy and was recovered following conservative management in a patient who was taking long-term aspirin medication.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, KEPCO Medical Center, Seoul, Korea.
authors.forename: Eun Soo
authors.initials: ES
authors.lastname: Jeong
authors.forename: Min Jeong
authors.initials: MJ
authors.lastname: Kim
authors.forename: Seung Hyen
authors.initials: SH
authors.lastname: Yoo
authors.forename: Dong Hyun
authors.initials: DH
authors.lastname: Kim
authors.forename: Jin Sung
authors.initials: JS
authors.lastname: Jung
authors.forename: Nam Ho
authors.initials: NH
authors.lastname: Koo
authors.forename: Se Heon
authors.initials: SH
authors.lastname: Chang