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Int J Gastrointest Interv. 2019 Jan;8(1):59-61. English. Brief Communication. https://doi.org/10.18528/ijgii190004
Kim YM , Park JJ , Youn YH .
Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. dryoun@yuhs.ac, jaejpark@yuhs.ac
Abstract

Summary of Event

A 65-year-old women underwent endoscopic ultrasonography (EUS) to evaluate the gastric submucosal tumor. The EUS scope was inserted into the esophagus after two attempts. A neck computed tomography (CT) scan showed a pneumomediastinum and an air bubble deep in the neck, suggesting an esophageal rupture. The patient was hospitalized and maintained conservative treatment including broad-spectrum antibiotics and withholding oral feeding.

Teaching Point

Endoscopists should consider an imaging modality when a patient complains of moderate to severe neck pain after an upper endoscopy. Prompt surgical management should be considered in patients with a delayed diagnosis (> 24 hours), those with signs of systemic toxicity, and those who have eaten between the time of the procedure and when the perforation was detected.

Copyright © 2019. Korean Association of Medical Journal Editors.