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Normal chest X-ray should not mislead
  1. Zouheir Ibrahim Bitar1,
  2. Mohammed Ibrahim2,
  3. Hesham Sabry el-Emam3,
  4. Mohammed Zouheir Bitar4
  1. 1Department of Internal Medicine, KOC Hospital, Fahahil, Kuwait
  2. 2Department of Anaesthesia, Ahamadi Hospital, Ahamdi, Kuwait
  3. 3Department of Radiology, Ahamdi Hospital, Ahamdi, Kuwait
  4. 4Department of Internal Medicine, Makassed General Hospital, Beirut, Lebanon
  1. Correspondence to Dr Zouheir Ibrahim Bitar, zbitar2{at}


A lung ultrasound (US) can be routinely performed at the bedside by a trained intensive care unit physician and may provide accurate information about a lung's status that has diagnostic and therapeutic relevance. Oesophageal perforations are rare, and due to the rarity of this type of perforation and its non-specific presentation, the diagnosis and treatment are delayed, leading to a high mortality rate. We present a 70-year-old woman with a postoesophagoscopy perforated oesophagus. Lung US detected pneumothorax and mild pleural effusion that were not present on the postoperative chest X-ray. The early detection of the perforation led to a good outcome.

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