A 47-year-old man with past medical history significant for tobacco use, prior alcohol use, presumed COPD, and recent evaluation for a possible esophageal mass status post EGD on 7/22 with findings of stenosis and circumferential ulceration involving the distal esophagus status post dilation and biopsy.
Patient was admitted on 7/29 for acute hypoxic respiratory failure, ARDS, and septic shock with findings of left-sided pleural effusion and pneumothorax confirmed to be esophageal perforation. S/P chest tubes, EGD, and stenting.
CT of the chest confirming extravasation of water-soluble contrast from the left lateral wall of the esophagus at the level of the GE junction.
The area of extravasation distal esophigus
EGD conformed a medium-sized perforation at the gastroesophageal junction. This defect
This was stented with an 18 mm x 10.3 cm WallFlex covered stent. Clip placed to secure stent.
Esophageal stent is clearly seen on the CXR