Highlights
Transoesophageal echocardiography (TOE) is considered as a safe and non-invasive procedure.
Complications include odynophagia, upper gastrointestinal haemorrhage, endotracheal tube malpositioning and dental injury.
One of the rarer complications includes oesophageal perforation.
A high index of suspicion is crucial, particularly if there was a struggle in introducing the TOE probe.
Prompt diagnosis and vital investigations are crucial in order to advocate the early management of patients.
Conservative management may be worthwhile in a stable patient despite delayed presentation.
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