PMC6159195_01
AP erect portable chest X-ray showing right lower lobe consolidation. A right internal jugular line. More importantly the oesophageal stent has the distal end at the level of the ribs, with gas in the subcutaneous fat adjacent to it.
bjrcr.20160138.g001.jpg
PMC6159195_01_bjrcr.20160138.g001.jpg
f1
Surgery team, and underwent a chest radiograph, which confirmed the presence of gas in the left anterior chest wall (Figure 1). Subsequent thoraco-abdomino-pelvic CT revealed oesophageal stent migration through the gastric fundus to the chest wall between the 10th and 11th left ribs (Figures 2,3), which led to chest wall contamination by gastric contents.
A coronal slice of the CT thorax of the patient showing inferior migration of the oesophageal stent, which has gone through the greater curvature of the stomach, perforating the stomach wall and extending into the lateral aspect of the chest wall. There is also surgical emphysema with soft tissue swelling on the left lateral inferior chest wall and left upper lateral abdominal wall.
bjrcr.20160138.g002.jpg
PMC6159195_01_bjrcr.20160138.g002.jpg
f2
Surgery team, and underwent a chest radiograph, which confirmed the presence of gas in the left anterior chest wall (Figure 1). Subsequent thoraco-abdomino-pelvic CT revealed oesophageal stent migration through the gastric fundus to the chest wall between the 10th and 11th left ribs (Figures 2,3), which led to chest wall contamination by gastric contents.