# What is behind the chest pain? Rare esophageal hematoma caused by betel nut: A case report

## TL;DR

A patient's chest pain was caused by a rare esophageal hematoma linked to chewing betel nuts, highlighting a potential cause of gastrointestinal bleeding.

## Contribution

This case report identifies chewing betel nuts as a possible cause of esophageal hematoma and gastrointestinal bleeding.

## Key findings

- A patient's chest pain was found to be caused by a large esophageal hematoma.
- Chewing betel nuts may lead to gastrointestinal bleeding and esophageal damage.
- Longitudinal ulcers were observed after the hematoma healed.

## Abstract

This case report reported a case of huge esophageal hematoma caused by chewing betel nut. The patient was admitted to the hospital due to chest pain. After a multidisciplinary diagnosis by the Department of Gastroenterology, Cardiology, and Radiology, it was finally determined that the patient's chest pain was caused by a huge esophageal hematoma. After diagnosis and treatment, we observed the longitudinal ulcer after the healing of the esophageal giant hematoma. This case report provides evidence that chewing betel nuts may be a cause of gastrointestinal bleeding.