INSTRUMENTAL PERFORATION OF THE ESOPHAGUS

PERFORATION OF THE ESOPHAGUS A 12-YEAR EXPERIENCE

Esophageal perforation continues to be a difficult diagnostic and management problem. Recommendations regarding treatment remain controversial. 17 patients with perforation of the esophagus were retrospectively reviewed at the Thoracic Surgery Unit of Imam Khomeini Hospital between 1981 and 1992. The majority of the injuries involved the thoracic esophagus (10 or 59%), followed by the cerv...

Tension pneumoperitoneum following instrumental perforation of an obstructed esophagus in an infant.

A 4-month-old infant was diagnosed with esophageal atresia and tracheoesophageal fistula. He was admitted to our hospital because of progressive poor findings and repeated aspiration pneumonia after surgical repair. An esophagogram demonstrated severe esophageal stricture. Flexible endoscopic dilatation was performed under general anesthesia, but sudden onset respiratory distress and progressiv...

Treatment of instrumental oesophageal perforation.

Results of a conservative approach in the treatment of instrumental oesophageal perforation were evaluated in 54 patients. The perforations occurred either during introduction of/or manipulation with fibre-endoscopes (six), during dilatation procedures with metal olives (five), mercury bougies (six) or during pneumodilatation (two) in 19 patients without malignancy and during an intubation proc...

A fish bone perforation of the esophagus.

A 73-year-old man presentedwith odynophagia and retrosternal pain of 3 days’ duration following a fish meal. Physical examination disclosed normal vital signs and a temperature of 37.2°C. Laboratory studies showed elevated white blood cells of 13 900/μL and C-reactive protein of 14.8mg/dL. A computed tomography (CT) of the chest revealed a suspicious fish bone that measured 3cm in length and ha...

Spontaneous perforation of the normal esophagus.