BACKGROUND Esophageal perforation is a rare, often life-threatening condition, and management remains challenging. METHODS Retrospective review of consecutive patients with esophageal perforation treated at two university hospitals between 2000 and 2010. Pertinent data from hospital records were retrieved for statistical calculations and evaluation of perforation score. RESULTS Forty-seven ...

Acute mediastinitis is a low incidence pathology, but it associated with high mortality rate. Iatrogenic lesions are the most common cause of secondary to esophageal perforation. Early diagnosis and surgical treatment important factors in patients this condition. 83-year-old female patient, history left saphenectomy due venous insufficiency difficult intubation two days prior emergency consulta...

Computed tomography (CT) is useful for evaluating esophageal foreign bodies and detecting perforation. However, when evaluation is difficult owing to the previous use of barium as a contrast medium, 3-dimensional CT may facilitate accurate diagnosis. A 49-year-old man was transferred to our hospital with the diagnosis of esophageal perforation. Because barium had been used as a contrast medium ...

A case of incomplete duplication of the esophagus diagnosed in a 20-month-old girl with an esophageal perforation is presented. X-ray films of the chest showed pneumomediastinum and subcutaneous emphysema. A water soluble contrast esophagogram revealed a contrast leakage from the cervical esophagus to the thoracic inlet. The endoscopic findings are described. Complete resection of the esophagea...

Herein, we present the case of a 45-years-old woman with a foreign body (dental prosthesis) ingestion lodged in the esophagus(Figure.1). The foreign body was extracted by rigid esophagoscopy after severe manipulation. In 24 hours, the patient became febrile with emphysema in the neck. laboratory data showed leukocytosis and CT scan revealed signs of esophageal perforation(Figure.2). Surgical ex...

THE use of transesophageal echocardiography for intraoperative monitoring of cardiac function is increasing. Complications are rare. Oropharyngeal injury and hypopharyngeal perforation during difficult insertion of the echoprobe in anesthetized patients have been reported. [1,2] One case of perforation of the cervical esophagus in an awake patient after multiple attempts at insertion of the ech...

We report two patients, who presented within six months with the classic clinical picture of 'spontaneous' oesophageal perforation, which was caused by a perforated Barrett's ulcer. These two cases underline the importance of postoperative endoscopy in ruling out intrinsic oesophageal disease as the cause of the rupture in every patient, who survives this life threatening condition.