Zenker’s diverticulum perforation due to transoesophageal echocardiography: Case report of the management of an extremely rare life-threatening iatrogenic complication

摘要

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.