Patient Data
Age: 75 years
Gender: Male
From the case:
Esophageal perforation post gastroscopy
Download
Info

Multiple air-density lucencies can be seen along the mediastinum and along the left heart border indicate pneumomediastinum.
From the case:
Esophageal perforation post gastroscopy
Download
Info

Multiple extraluminal gas locules can be identified in mediastinum particular anterior to pericardium, around esophagus and ascending aorta. There is perforation of oesophgeal wall can be seen around level of T9 vertebrae.
Mild pleural effusion can be seen in right lung.
Case Discussion
Esophageal perforation is uncommon post endoscopy but is a known complication. There is a high mortality rate (~20%) so recognition is important.