J Korean Radiol Soc.  2005 Aug;53(2):91-94. 10.3348/jkrs.2005.53.2.91.

Conservative Treatment of Transmural Perforation with Mediastinal Leakage after Balloon Dilation: A Case Report

Affiliations
  • 1Department of Radiology, Chonbuk National University Medical School, Korea. ymhan@chonbuk.ac.kr
  • 2Institute of Cardiovascular Research, Chonbuk National University Medical School, Korea.

Abstract

A 43-year-old man was admitted complaining of swallowing difficulties. The esophagography revealed severe stenosis at the esophagogastric anastomotic site. Esophagography after balloon dilatation showed a transmural perforation with mediastinal leakage. The patient was treated conservatively for one week at which time the esophagography showed no further leakage at the anastomotic site and the good passage of barium. A 2-year follow-up chest computed tomography (CT) showed good patency of the esophageal lumen and the marked resorption of barium in the mediastinum.

Keyword

Esophagus; Postoperative stricture; Interventional procedures; Perforation

MeSH Terms

Adult
Barium
Constriction, Pathologic
Deglutition
Dilatation
Esophagus
Follow-Up Studies
Humans
Mediastinum
Thorax
Barium
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