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
Modality: CT

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

Contrast swallow

Modality: Fluoroscopy

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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