Mediastinitis secondary to barium leakage

Case contributed by Dr Maxim Stalkov

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

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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Case information

rID: 36710
Published: 5th May 2015
Last edited: 15th Dec 2019
Inclusion in quiz mode: Included

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