Oesophageal perforation following transoesophageal echocardiography: A case report on successful conservative management

International Journal of Surgery Case Reports
Nadiah Binti RoslyNik Ritza Kosai

Abstract

Transoesophageal echocardiography (TOE) is a widely used intraoperative diagnostic tool in cardiac patients, and it is considered as a safe and non-invasive procedure. However, it has its known complications, which is estimated to be 0.18% with mortality reported as 0.0098%. Complications of TOE include odynophagia, upper gastrointestinal haemorrhage, endotracheal tube malpositioning and dental injury. One of the rarer complications includes oesophageal perforation, whose incidence is reported to be 0.01%. We present a case of a 61-year-old lady with mitral valve prolapse (MVP) who underwent TOE with subsequent presentation of odynophagia with left neck swelling. An upper endoscopy examination was inconclusive; however, a contrasted computed tomography of the neck showed evidence of cervical oesophageal perforation. She was managed conservatively and discharged well. The trauma caused by TOE probe insertion and manipulation accounts for most of the upper gastrointestinal complications. Mortality of patients associated with oesophageal perforation can be up to 20% and doubled if the treatment is delayed for more than 24 h. Mechanism of injury from TOE probe is likely multifactorial. Predisposing factors that increase the risk of...Continue Reading

References

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Jan 13, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Till HerboldJessica M Leers
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

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