Esophageal Hematoma After Severe Vomiting

A male patient developed hematemesis and chest pain after severe vomiting. Gastroscopy showed a linear hematoma from the esophageal entrance to the cardia. Enhanced CT of the esophagus revealed a high-density shadow in the middle of the esophagus. Severe vomiting can lead to esophageal injury and esophageal hematoma. As this condition mimics critical symptoms of myocardial infarction and aortic dissection, clinicians must remain vigilant. This case emphasizes the importance of recognizing acute submucosal bleeding in the digestive tract, aiding in clinical diagnosis and treatment.