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

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.