Presentation
Esophageal stricture due to caustic ingestion. Treatment with mechanical dilatation many years ago resulted in esophageal perforation for which a barium swallow study was performed.
Patient Data
Age: 75 years
Gender: Female
From the case:
Mediastinitis secondary to barium leakage
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Radiopaque material representing leaked barium is seen in the mediastinum and right pleural space. Pleura is thickened presumably due to aseptic inflammation caused by leaked barium.
Case Discussion
Suspected compromise of GI tract wall integrity is a strong contraindication for barium study. In this setting a non-ionic water-soluble contrast media is the best option.
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