RESUMO
A 44-year-old woman was admitted to our hospital with acute severe chest pain and dysphagia, without an assignable cause. Radiological investigation of the oesophagus with water soluble contrast revealed an intramural rupture. Conservative management led to complete recovery within eight days. Spontaneous intramural rupture of the oesophagus is a very uncommon disease requiring adequate differentiation from other more serious diseases in order to apply correct therapy.
Assuntos
Transtornos de Deglutição/etiologia , Doenças do Esôfago/complicações , Doença Aguda , Adulto , Doenças do Esôfago/diagnóstico por imagem , Estenose Esofágica/diagnóstico por imagem , Estenose Esofágica/etiologia , Feminino , Humanos , Radiografia , Ruptura EspontâneaRESUMO
Although percutaneous insertion of pacemaker leads is a simple and safe method, it remains a procedure with a relatively high complication rate. We describe an uncommon and avoidable complication of this technique: piercing the lung with a pacemaker lead in an obese patient after direct puncture of the subclavian vein.