EURORAD ESR

Case 15265

Unexpected pharygoesophageal perforation

Author(s)
Irene Cases Susarte, Juana Mª Plasencia Martínez, Marta Tovar Pérez, Carlos Vázquez Olmos, Begoña Marquez Argente del Castillo, Eduardo Gonzalez Lozano

HGU J.M. Morales Meseguer, Department of Radiology,
Avda. Marqués de los Velez, s/n, 30008, Murcia, España
Email:Irene_sagitario23@hotmail.com
 
Patient
female, 84 year(s)
 
 
  • Figure 1
    Cervicothoracic computed tomography (CT) with intravenous contrast
     

    Sagittal-CT. Diffuse soft-tissue cervical emphysema (yellow arrowheads), with retropharyngeal air up to the skull base (white arrowheads) and a calcified foreign body located in the hypopharynx with “U”...

     
    Area of Interest: Ear / Nose / Throat; Imaging Technique: CT; Procedure: Education; Special Focus: Foreign bodies;

    Axial-CT. Left pyriform sinus perforation secondary to the FB (arrow) and extensive surgical emphysema in adjacent soft tissues (arrowheads).

     
    Area of Interest: Ear / Nose / Throat; Imaging Technique: CT; Procedure: Education; Special Focus: Foreign bodies;

    Axial-CT. Pneumomediastinum

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Education; Special Focus: Foreign bodies;
     
     
  • Figure 2
    Volume rendering reconstruction

    The foreign body has a characteristic shell form.

     
    Area of Interest: Ear / Nose / Throat; Imaging Technique: CT; Procedure: Education; Special Focus: Foreign bodies;
     
     
  • Figure 3
    Fibroscopy

    Fibroscopy image demonstrating the presence of a mussel shell (white arrow) covering the laryngeal inlet (black arrow).

     
    Area of Interest: Ear / Nose / Throat; Imaging Technique: Experimental; Procedure: Education; Special Focus: Foreign bodies;
     
     
Sagittal-CT. Diffuse soft-tissue cervical emphysema (yellow arrowheads), with retropharyngeal air up to the skull base (white arrowheads) and a calcified foreign body located in the hypopharynx with “U” morphology (white arrow) covering the laryngeal inlet.
 
Axial-CT. Left pyriform sinus perforation secondary to the FB (arrow) and extensive surgical emphysema in adjacent soft tissues (arrowheads).
 
Axial-CT. Pneumomediastinum
 
The foreign body has a characteristic shell form.
 
Fibroscopy image demonstrating the presence of a mussel shell (white arrow) covering the laryngeal inlet (black arrow).
 
 
 
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