Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report review of the literature.

Cases Journal
Konstantinos TsalisCharalampos Lazaridis

Abstract

Esophageal perforation is a serious condition with a high mortality rate. Successful therapy depends on the size of the rupture; the time elapsed between rupture and diagnosis, and the underlying health of the patient. Common causes of esophageal perforation include medical instrumentation, foreign-body ingestion, and trauma. A case of esophageal perforation due to fish bone ingestion in a 67-year-old male is described here, with a review of the pertinent literature. The patient presented with chest pain, fever and right-sided pleural effusion. Initial evaluation was nondiagnostic. The water-soluble contrast swallow test showed no evidence of leakage. Computed tomography scan demonstrated a pneumomediastinum, and right-sided hydropneumothorax. The patient was successfully treated using conservative measures.

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Citations

Jan 9, 2020·Medicine·Ching-Hsuane TzengFeng-You Lee
Jun 30, 2018·International Journal of Clinical Pharmacy·Jennifer Gregory, Jason Hecht

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Methods Mentioned

BETA
X-ray

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