Cakiroglu OF, Gurbuz J, Taslidere B, Cander B. Posterior gastric wall perforation and acute kidney injury after upper endoscopy with esophageal dilation: A case report. World J Clin Cases 2026; 14(27): 126787 [DOI: 10.12998/wjcc.126787]
Corresponding Author of This Article
Julide Gurbuz, Consultant, Department of Emergency Medicine, Bezmialem Foundation University, Vatan Street, Fatih, İstanbul 34093, Türkiye. jultyilmaz@gmail.com
Research Domain of This Article
Emergency Medicine
Article-Type of This Article
case-report
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Cakiroglu OF, Gurbuz J, Taslidere B, Cander B. Posterior gastric wall perforation and acute kidney injury after upper endoscopy with esophageal dilation: A case report. World J Clin Cases 2026; 14(27): 126787 [DOI: 10.12998/wjcc.126787]
Omer Faruk Cakiroglu, Department of Emergency Medicine, Kartal City Hospital, İstanbul 34865, Türkiye
Julide Gurbuz, Bahadir Taslidere, Department of Emergency Medicine, Bezmialem Foundation University, İstanbul 34093, Türkiye
Basar Cander, Department of Emergency Medicine, Bezmialem Vakif University, Istanbul 34093, Türkiye
Co-first authors: Omer Faruk Cakiroglu and Julide Gurbuz.
Author contributions: Gurbuz J designed the report and conceived the study; Cakiroglu OF collected and processed the clinical data and performed the literature search; Gurbuz J analyzed and interpreted the data; Cakiroglu OF and Gurbuz J wrote the manuscript; Taslidere B supervised the work; Cander B critically revised the manuscript for important intellectual content; and all authors have read and approved the final manuscript.
AI contribution statement: Portions of this manuscript were edited using AI tools solely for language refinement. The authors carefully reviewed and verified all AI-assisted outputs and take full responsibility for the scientific content of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Julide Gurbuz, Consultant, Department of Emergency Medicine, Bezmialem Foundation University, Vatan Street, Fatih, İstanbul 34093, Türkiye. jultyilmaz@gmail.com
Received: August 13, 2026 Revised: September 16, 2026 Accepted: October 10, 2026 Published online: September 26, 2026 Processing time: 61 Days and 19 Hours
Core Tip
Core Tip: Posterior gastric wall perforation is a rare, easily missed complication of upper gastrointestinal endoscopy because it may decompress into the lesser sac rather than the peritoneal cavity. In this high-risk patient, the endoscope had to be advanced posterior to a migrated tracheoesophageal voice prosthesis during a session that also included esophageal bougie dilation, while thoracolumbar scoliosis, pectus carinatum, and nonverbal status masked peritonitis for 72 hours. The accompanying acute kidney injury (AKI) was multifactorial, most consistent with sepsis-associated ischemic acute tubular injury rather than contrast-associated AKI. Early cross-sectional imaging may be warranted when high-risk patients deteriorate after endoscopy.
