RT Book, Section A1 MUNIAPPAN, ASHOK A2 Butler, Kathryn L. A2 Harisinghani, Mukesh SR Print(0) ID 1108260593 T1 ESOPHAGEAL PERFORATION T2 Acute Care Surgery: Imaging Essentials for Rapid Diagnosis YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071831208 LK accesssurgery.mhmedical.com/content.aspx?aid=1108260593 RD 2024/04/19 AB A 61-year-old woman with a history of Roux-en-y gastric bypass for morbid obesity presents with dysphagia and vomiting. She undergoes esophagogastroscopy at an outside institution where food impaction at the level of the gastrojejunostomy is found. A push-and-pull technique is used to remove the food. During the course of endoscopy, bleeding at the level of the upper esophageal sphincter is noted. After the procedure, the patient complains of sub-sternal chest pain.