case_images: PMC10880586_01
case_images: Electrocardiogram showing ventricular skip rhythm with right bundle-branch block. P waves at regular intervals consistent with third-degree heart block.
case_images: LS-JSLS240003F001.jpg
case_images: PMC10880586_01_LS-JSLS240003F001.jpg
case_images: F1
case_images: Electrocardiogram (Figure 1) showed the patient was in third-degree heart block, and laboratory investigations revealed a troponin T of 27 ng/L.
case_images: Coronal chest CT showing pneumomediastinum with left pleural effusion.
case_images: LS-JSLS240003F002.jpg
case_images: PMC10880586_01_LS-JSLS240003F002.jpg
case_images: F2
case_images: Computed tomography with oral contrast revealed pneumomediastinum with a 3.6 x 6.9 cm air-fluid collection immediately adjacent to gastroesophageal junction on the left and several other foci of predominantly gas posterior to the gastric cardia which partially filled with small amount of contrast on postcontrast images (Figures 2-5).
case_images: Sagittal view of pneumomediastinum and small focus of free air under the diaphragm from esophageal perforation.
case_images: LS-JSLS240003F003.jpg
case_images: PMC10880586_01_LS-JSLS240003F003.jpg
case_images: F3
case_images: Computed tomography with oral contrast revealed pneumomediastinum with a 3.6 x 6.9 cm air-fluid collection immediately adjacent to gastroesophageal junction on the left and several other foci of predominantly gas posterior to the gastric cardia which partially filled with small amount of contrast on postcontrast images (Figures 2-5).
case_images: Axial view of contrast extravasation and pneumomediastinum into left pleural effusion due to esophageal perforation.
case_images: LS-JSLS240003F004.jpg
case_images: PMC10880586_01_LS-JSLS240003F004.jpg
case_images: F4
case_images: Computed tomography with oral contrast revealed pneumomediastinum with a 3.6 x 6.9 cm air-fluid collection immediately adjacent to gastroesophageal junction on the left and several other foci of predominantly gas posterior to the gastric cardia which partially filled with small amount of contrast on postcontrast images (Figures 2-5).
case_images: Coronal chest CT showing air adjacent to GE junction. These areas were filled with contrast on postcontrast images.
case_images: LS-JSLS240003F005.jpg
case_images: PMC10880586_01_LS-JSLS240003F005.jpg
case_images: F5
case_images: Computed tomography with oral contrast revealed pneumomediastinum with a 3.6 x 6.9 cm air-fluid collection immediately adjacent to gastroesophageal junction on the left and several other foci of predominantly gas posterior to the gastric cardia which partially filled with small amount of contrast on postcontrast images (Figures 2-5).