Esophageal Perforation in Adults

Management of Esophageal Perforation in Adults

Perforation of esophagus in the adult is a very morbid condition with high morbidity and mortality. The ideal treatment is controversial. The main causes for esophageal perforation in adults are iatrogenic, traumatic, spontaneous and foreign bodies. The morbidity and mortality rate is directly related to the delay in diagnosis and initiation of optimum treatment. The reported mortality from tre...

Intramural esophageal dissection associated with esophageal perforation.

Intramural esophageal dissection (IED) is a rare clinical entity involving a mucosal injury and creation of a true and false lumen within the esophagus. We report on a case of IED caused by repeated vomiting due to a small bowel obstruction associated with a small amount of pneumomediastinum on CT. IED has traditionally been believed not to be associated with esophageal perforation. Our case ad...

Esophageal Perforation Due to Nasogastric Tube Insertion: A Case Report

Introduction: A Nasogastric (NG) tube insertion is a common technique in all neonatal intensive care units (NICUs). In some cases, NG insertion in infants with friable esophageal tissues may lead to some adverse side-effects, although such problems are not commonly seen. Esophageal perforation is a rare but known complication associated with this procedure. Methods: An infant (first child), we...

Anesthetic considerations for esophageal perforation.

To the anesthesia practitioner, the esophagus is the source of one of the most feared complications of anesthesia-gastric aspiration. However, this muscular conduit is also one of the anesthetist's most useful monitors of heartbeat, respirations and temperature via specialized probes. The esophagus is often taken for granted until a pathological process compromises its function. Esophageal perf...

Iatrogenic esophageal perforation in a preterm infant