Esophageal perforation

Case contributed by Dr Henry Knipe


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

Patient Data

Age: 16
Gender: Female

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


Contrast swallow

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

Acknowledgment: Dr David Wang. 

Case Discussion

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

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Case information

rID: 26144
Published: 2nd Dec 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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