Oesophageal perforation

Case contributed by Dr Henry Knipe

Presentation

Increasing mid-chest pleuritic pain since endoscopic oesophageal dilatation ?perforation.

Patient Data

Age: 16
Gender: Female
CT

Small locule of gas is present outside the oesophageal lumen, posterolateral to the caudate lobe of the liver. No other abnormal findings. 

Fluoroscopy

Contrast swallow

Mucosal irregularity of the anterior wall of the mid thoracic oesophagus likely corresponds to the region of dilatation and represents a likely mucosal tear. 

Acknowledgment: Dr David Wang. 

Case Discussion

The evidence for oesophageal perforation, a small locule of gas on CT and mucosal irregularity on fluoroscopic contrast swallow, is subtle but present in this case. Oesophageal perforation is key to regonise because there is a mortality rate of ~20%. 

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Case information

rID: 26144
Case created: 2nd Dec 2013
Last edited: 4th Sep 2015
Inclusion in quiz mode: Included

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