EURORAD ESR

Case 13991

Spontaneous oesophageal perforation

Author(s)
Teiga, Eduardo; Zuccarino, Flavio; Busto, Marcos; Carbullanca, Santiago

Hospital Universitario del Mar;
Passeig Maritim
08005 Barcelona, Spain;
Email:eduardo_teiga@hotmail.com
 
Patient
female, 84 year(s)
 
 
  • Figure 1
    Chest X-Ray

    Left pleural effusion with underlying atelectasis / consolidation. Areas of hyperlucency project over the left of the midline, findings compatible with pneumothorax / pneumomediastinum. Subcutaneous emphysema...

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    CT scan
     

    Extensive free gas throughout the neck and chest (red arrows). Significant pneumomediastinum (green arrows) was seen to extend along the soft tissue planes of the neck and upper chest producing surgical emphysema.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Pneumomediastinum (green arrows). Pneumothorax (orange arrow) was also evident.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Mediastinal window better depicts the loculated pleural effusion corresponding to empyema. Compressive atelectasis of the lingual and left lower lobe and small right pleural effusion associated with mild right lung...

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    CT scan - oral contrast
     

    Oral contrast medium was seen within the oesophagus and free contrast medium was seen exiting the distal third of the oesophagus and entering the mediastinum.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Pneumomediastinum (green arrow) close to the site of rupture.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Left pleural effusion with underlying atelectasis / consolidation. Areas of hyperlucency project over the left of the midline, findings compatible with pneumothorax / pneumomediastinum. Subcutaneous emphysema is seen in the soft tissues of the left lower neck.
 
Extensive free gas throughout the neck and chest (red arrows). Significant pneumomediastinum (green arrows) was seen to extend along the soft tissue planes of the neck and upper chest producing surgical emphysema.
 
Pneumomediastinum (green arrows). Pneumothorax (orange arrow) was also evident.
 
Mediastinal window better depicts the loculated pleural effusion corresponding to empyema. Compressive atelectasis of the lingual and left lower lobe and small right pleural effusion associated with mild right lung base atelectasis are also noted.
 
Oral contrast medium was seen within the oesophagus and free contrast medium was seen exiting the distal third of the oesophagus and entering the mediastinum.
 
Pneumomediastinum (green arrow) close to the site of rupture.
 
 
 
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