Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic Esophagitis

Transesophageal echocardiography (TEE) is a commonly used procedure in patients with suspected endocarditis. A rare but dreadful complication of this procedure is perforation of the esophagus. We report the case of an elderly female with multiple comorbidities, who presented with polyarticular septi...

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Main Authors: Kabir Ahmed, Yasir Lal, Steven Condron
Format: Article
Language:English
Published: Karger Publishers 2012-12-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:http://www.karger.com/Article/FullText/346311
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author Kabir Ahmed
Yasir Lal
Steven Condron
author_facet Kabir Ahmed
Yasir Lal
Steven Condron
author_sort Kabir Ahmed
collection DOAJ
description Transesophageal echocardiography (TEE) is a commonly used procedure in patients with suspected endocarditis. A rare but dreadful complication of this procedure is perforation of the esophagus. We report the case of an elderly female with multiple comorbidities, who presented with polyarticular septic arthritis. TEE was performed to rule out endocarditis. Though the standard procedure protocol was followed, she developed esophageal perforation. It was managed with esophageal stenting but she developed multiorgan failure and did not survive. This case highlights the potential of severe morbidity and mortality associated with TEE. Appropriate screening must be done and high-risk individuals must be identified before such procedures are attempted.
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spelling doaj.art-336932cb92a240e8b3891117d3fb7ce32022-12-21T23:37:51ZengKarger PublishersCase Reports in Gastroenterology1662-06312012-12-016376076410.1159/000346311346311Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic EsophagitisKabir AhmedYasir LalSteven CondronTransesophageal echocardiography (TEE) is a commonly used procedure in patients with suspected endocarditis. A rare but dreadful complication of this procedure is perforation of the esophagus. We report the case of an elderly female with multiple comorbidities, who presented with polyarticular septic arthritis. TEE was performed to rule out endocarditis. Though the standard procedure protocol was followed, she developed esophageal perforation. It was managed with esophageal stenting but she developed multiorgan failure and did not survive. This case highlights the potential of severe morbidity and mortality associated with TEE. Appropriate screening must be done and high-risk individuals must be identified before such procedures are attempted.http://www.karger.com/Article/FullText/346311Esophageal perforationTransesophageal echocardiographyEsophagitisEsophageal stenting
spellingShingle Kabir Ahmed
Yasir Lal
Steven Condron
Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic Esophagitis
Case Reports in Gastroenterology
Esophageal perforation
Transesophageal echocardiography
Esophagitis
Esophageal stenting
title Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic Esophagitis
title_full Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic Esophagitis
title_fullStr Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic Esophagitis
title_full_unstemmed Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic Esophagitis
title_short Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic Esophagitis
title_sort esophageal perforation a rare complication of transesophageal echocardiography in a patient with asymptomatic esophagitis
topic Esophageal perforation
Transesophageal echocardiography
Esophagitis
Esophageal stenting
url http://www.karger.com/Article/FullText/346311
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AT yasirlal esophagealperforationararecomplicationoftransesophagealechocardiographyinapatientwithasymptomaticesophagitis
AT stevencondron esophagealperforationararecomplicationoftransesophagealechocardiographyinapatientwithasymptomaticesophagitis