Massive bleeding due to dissecting esophageal hematoma: A diagnostic dilemma

The esophagus may be the origin of acute chest pain that is clinically indistinguishable from that caused due to other cardiothoracic emergencies. Dissecting esophageal hematoma is an extremely rare condition generally presenting with severe acute chest pain, and it might also cause vomiting, dysphagia, odynophagia, and hematemesis. Endoscopy is safe and can be used to confirm the diagnosis when a hematoma within the esophageal wall or later appearances of a longitudinal dissection are observed. Dissecting esophageal hematoma has an excellent prognosis, and it is usually treated conservatively after excluding esophageal perforation. We report a case of a 44-year-old male patient with Beh？et’s disease who was taking colchicine, coumadin, and enoxaparin, and we initially suspected that this patient had pulmonary embolism or pulmonary artery aneurysm, but later, we found that he had dissecting esophageal hematoma. Furthermore, we observed that the laceration did not heal completely even 6 weeks after the conservative treatment