Intramural hematoma is a very rare complication of anticoagulant therapy in the gastrointestinal tract. It may develop after blunt abdominal trauma, endo-scopic sclerotherapy and endoscopic biopsy or peptic ulcer disease [1]. In March 2011 issue of Scandinavian Journal of Gastroenterology, Veldt et al. reported a case of duodenal hematoma developed after anticoagulant therapy [2]. Here, we would like to report an intramural hematoma of the esophagus as a complication of anticoagulant or antiplatelet therapy. A 65-year-old woman underwent stent placement for the treatment of intra-cranial aneurysm. Before the procedure, prophylactic intravenous heparin and oral clopidogrel were administered. Two hours after the stent placement, she developed severe chest pain, dysphagia and hematem-esis. At the presentation, acute myocardial infarction was excluded by ECG and cardiac biomarkers. Computed tomography did not show any findings of aortic dissection. Endoscopy showed a longitudinal, sub-mucosal lesion surrounded by an intact mucosa extending from the proximal esophagus to gastric fundus (Figure 1).
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