BMJ Case Reports 2017; doi:10.1136/bcr-2017-222447
  • Rare disease

Intramural oesophageal haematoma following traumatic neck injury

  1. Brendan Morrissey2
  1. 1Emergency Department, Sligo University Hospital, Sligo, Ireland
  2. 2Radiology Department, Sligo University Hospital, Sligo, Ireland
  1. Correspondence to Dr Emma Roemmele, emmaroemmele{at}
  • Accepted 9 December 2017
  • Published 28 December 2017


This case describes a previously well 90-year-old woman who presented with neck pain, swelling, dysphagia and hoarseness following a motor vehicle collision. Oesophageal oedema was visualised on CT of cervical spine and subsequent CT angiography highlighted an actively bleeding intramural oesophageal haematoma (IOH) extending from the cervical oesophagus to the carina. This rare phenomenon (IOH) has been described as a possible consequence of blunt trauma to the neck; however, we found no cases resulting from acceleration/deceleration injury. Although this was a potentially life-threatening injury, our patient made a full recovery with conservative management.


  • Contributors ER, VM and BM have contributed sufficiently to the project.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article