PMC8565702_01
Plain chest radiography with a water soluble contrast swallow: 9 cm long stricture and food bolus impaction in the middle third of the esophagus
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Plain chest radiography with a water soluble contrast swallow revealed a 9 cm long stricture and food bolus impaction in the middle third of the esophagus (Figure 1).
Endoscopic aspect of EoE (small, whitish, dotted exudates, ring formation, crepe paper, pavement, long-section stricture)
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Gastroscopy examination described the food bolus impaction at 25 cm from dental arch and specific macroscopic image of eosinophilic esophagitis (Figure 2).
Thoracic CT: aspect of pneumomediastinum and presence of subcutaneous emphysema
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Due to high risk of complications, a thoracic computer tomography was made confirming the suspicion of pneumomediastinum (Figure 3).
Endoscopic aspect of esophageal perforation
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A new upper GI endoscopy described esophageal perforation (Figure 4).
Plain chest radiography with a water soluble contrast swallow: esophageal stricture (arrow), esophageal food bolus impaction (arrow head), esophageal perforation (star)
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Plain chest radiography with a water soluble contrast swallow was performed in order to confirm the diagnosis of esophageal perforation (Figure 5).
Eosinophilic esophagitis: thickened basal layer, numerous intraepithelial eosinophils (red arrows), dilated intercellular spaces (spongiosis) (HE, x60)
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The diagnosis of eosinophilic esophagitis was confirmed by histologic examination (Figures 6a and 6b).
Eosinophilic gastritis: >25 eosinophils/high power field in cardial mucosa and congestion (HE, x20)
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In the postoperative period, we focused on patient nutritional support, imagistic control (Figures 7a and 7b) and blood tests (Table 2) survey, as follows.
Plain chest X-ray immediately after the operation
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