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Pneumomediastinum After Percutaneous Endoscopic Gastrostomy Tube Placement Kenan W. Yount, MD, MBA, Melissa A. Mallory, MD, Kristin C. Turza, MD, Eric R. Griffiths, MD, Christine L. Lau, MD, MBA, Robert G. Sawyer, MD The Annals of Thoracic Surgery Volume 97, Issue 2, Pages e37-e39 (February 2014) DOI: 10.1016/j.athoracsur.2013.10.090 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Posteroanterior and (B) lateral roentgenograms of the chest, showing pneumoperitoneum (black arrows), with air superior to the liver and inferior to the diaphragm, and a pneumomediastinum (white arrows). The Annals of Thoracic Surgery 2014 97, e37-e39DOI: (10.1016/j.athoracsur.2013.10.090) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Esophagram revealing extrinsic compression (black arrows) of the esophagus and no visible leak as demonstrated by a lack of contrast extravasation. Further images in the series (not shown) confirmed the absence of a delayed leak, and real-time imaging revealed fixed compression. The Annals of Thoracic Surgery 2014 97, e37-e39DOI: (10.1016/j.athoracsur.2013.10.090) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Computed tomographic scan showing pneumomediastinum with air surrounding the aorta and trachea (white arrows). The Annals of Thoracic Surgery 2014 97, e37-e39DOI: (10.1016/j.athoracsur.2013.10.090) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions