Zenker's diverticulum perforation due to transoesophageal echocardiography: Case report of the management of an extremely rare life-threatening iatrogenic complication. (2020)

• Record Type: Journal Article
• Authors: Terryn, F.-X.; Stangherlin, P.; Mansvelt, B.
• Is Part Of: International journal of surgery case reports. Volume 72(2020)
• Page Start: 294
• Page End: 297
• Publication Date: 2020
• Subjects: Zenker's diverticulum -- Transoesophageal echocardiography -- Perforation -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2020.06.016
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Transoesophageal echocardiography has a low severe morbidity rate and an exceptional mortality rate. Zenker's Divertculum perforation is a life-threatening complication which may occur during this procedure and may require emergency surgery. Some techniques are described in the literature to perform a safe transoesophageal echocardiography in patients with Zenker's diverticulum when necessary. Check lists should be implemented in order to avoid foreseeable complications. Abstract: Introduction: Transoesophageal echocardiography is generally considered to be a safe monitoring and diagnostic tool. Even though the severe morbidity rate is relatively low and mortality rate exceptional, sometimes life-threatening events may occur during this procedure. Presentation of case: We described the case of a 79-year-old woman with an extremely rare case of Zenker's diverticulum perforation following a transoesophageal echocardiography and its successful management with a 6 months follow-up. Discussion: Several specific endoscopic techniques have been described in the literature in case of Zenker's diverticulum and we believe the use of check lists should be implemented. Conclusion: We hope that the documentation of this rare iatrogenic complication will remind the operators of this procedure to be aware of a documented Zenker's diverticulum and when necessary, to take the published precautions to prevent a highly severe complication.