Endoscopic therapy for esophageal hematoma with blue rubber bleb nevus syndrome

Figure 1 Physical examination at admission. The patient had a scar from the excision of hemangiomas on her right breast and multiple bluish hemangiomas on her right arm.

Figure 2 Dynamic computed tomography study. A: Early phase; B: Late phase. An esophageal hematoma was found, but there was no hemoperfusion to the hematoma.

Figure 3 Endoscopic images of the esophageal hematoma taken before and during endoscopic therapy. A and B: Esophageal hematoma from the thoracic esophagus to the gastric cardia with oozing bleeding; C: Endoscopic injection sclerotherapy with polidocanol was applied to the hematoma; D: After injection of polidocanol, the hematoma was incised using an injection needle.

Figure 4 Endoscopic images after endoscopic therapy. A: Seven days after endoscopic therapy, the hematoma had disappeared; B: Two months after endoscopic therapy, the esophageal ulcer healed, and the hematoma had not relapsed.