Achalasia combined with esophageal intramural hematoma: Case report and literature review

Figure 1 Computed tomography revealing a slight hyperdense tumor lesion (arrow) with a smooth surface over the upper esophagus, and no false lumen.

Figure 2 Esophagogastroduodenoscopy revealing a purplish bleeding esophageal submucosal tumor (A) and endoscopic ultrasound revealing a mixed echoic tumor with an anechoic component and an irregular at the submucosal layer (B).

Figure 3 Follow-up esophagogastroduodenoscopy 2 d later revealing a dissected necrotic mass lesion with ulcer formation.

Figure 4 Esophagogastroduodenoscopy revealing a shallow ulcer without a tumor (A) and endoscopic ultrasound revealing thickening mucosal and submucosal layers, an intact muscularis propria layer, and no submucosal tumor (B) during the follow-up one week later.

Figure 5 Esophagography revealing a dilated esophageal lumen with smooth narrowing of the esophagocardiac junction (arrow).