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Emerg Med J 2008;25:382 doi:10.1136/emj.2007.053389
  • Images in emergency medicine

Acute widening of mediastinum in a patient with oesophageal cancer after surgery

  1. C-W Chang,
  2. W-H Chang,
  3. S-C Shih,
  4. S-J Tsai
  1. Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital and Mackay Medicine, Nursing and Management College, Taipei, Taiwan
  1. Dr S-J Tsai, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, No. 92, Sec. 2, Chung-Shan N. Road, Taipei, Taiwan; tree{at}ms1.mmh.org.tw
  • Accepted 21 August 2007

A 59-year-old man vomited coffee ground material for 2 days. He had had oesophageal cancer surgically removed 7 months previously followed by gastric tube reconstruction. An initial chest radiograph showed no significant mediastinal lesion (fig 1). However, …

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