Chest pain, dysphagia and hematemesis in a new mother

A 37-year-old pregnant woman underwent urgent cesarean section at 32 weeks for eclampsia. The day of birth she presented with a hypertensive crisis that was resolved with medical therapy. Two days later she reported acute chest pain and dysphagia followed by hematemesis. An urgent upper endoscopy was performed. Immediately below the superior esophageal sphincter, a large, purple, non-pulsatile mass tearing the mucosa and protruding into the lumen was documented (Fig. 1A and B). Because the lesion occluded the esophageal lumen, the procedure was aborted.

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