title: A rare cause for acute chest pain in the emergency setting that is hard to swallow.
abstract: Intramural esophageal hematoma is a very rare but important cause of chest pain. This condition shares similarity with the diagnosis of other thoracic emergencies and has a high potential for misdiagnosis. The emergency clinician plays a critical role in the early identification and management of these patients. The management of intramural hematomas is typically conservative, and a misdiagnosis could lead to deleterious effects. Preexisting coagulopathy is one of the major risk factors. With the advent of new anticoagulation medications to prevent thromboembolic events, it is important that emergency medicine providers expand the differential diagnosis of chest pain.
authors: Department of Emergency Medicine, The Ohio State University Medical Center, 750 Prior Hall, 376 W 10th Avenue, Columbus, OH 43210, USA.
authors: Eric
authors: E
authors: Cummins
authors: Meenal
authors: M
authors: Sharkey
authors: Travis
authors: T
authors: Eastin
authors: Eric
authors: E
authors: Adkins
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