Korean J Gastroenterol.  2024 Oct;84(4):188-190. 10.4166/kjg.2024.109.

Pneumomediastinum and Pneumoperitoneum after Upper Gastrointestinal Endoscopy: A Case Report

• Park G
• Jeon HJ
• Lee JM
• Choi HS
• Keum B
• Jeen YT
• Chun HJ
• Kim ES

• KMID: 2560708
• DOI: http://doi.org/10.4166/kjg.2024.109

Figure

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  Fig. 1 Gastroscopic image performed at a local clinic.

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  Fig. 2 Initial computed tomography image showing pneumomediastinum and diffuse pneumoperitoneum.

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  Fig. 3 Second computed tomography image showing partial resolving of the pneumomediastinum and esophageal inflammation with thickening of the esophageal wall.

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  Fig. 4 Third Computed tomography image showing improved emphysema, pneumomediastinum, pneumoperitoneum and esophagitis.

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  Fig. 5 Gastroscopic image showing linear erosion from the upper esophageal sphincter to the cardia and ulcers near the cardia, without evidence of esophageal perforation.

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  Fig. 6 Upper gastrointestinal swallow radiographs showing no evidence of contrast leakage at esophagus.

Reference

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2. Lai CH, Lau WY. 2008; Management of endoscopic retrograde cholangiopancreatography-related perforation. Surgeon. 6:45–48. DOI: 10.1016/S1479-666X(08)80094-7. PMID: 18318088.