Oesophageal perforation post gastroscopy

Case contributed by Jack Ren

Patient Data

Age: 75 years
Gender: Male
Modality: X-ray

Multiple air-density lucencies can be seen along the mediastinum and along the left heart border indicate pneumomediastinum.

Modality: CT

Multiple extraluminal gas locules can be identified in mediastinum particular anterior to pericardium, around oesophagus 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

Oesophageal perforation is uncommon post endoscopy but is a known complication. There is a high mortality rate (~20%) so recognition is important. 

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Case Information

rID: 29193
Case created: 8th May 2014
Last edited: 25th Nov 2015
Inclusion in quiz mode: Included

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