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

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

Aug 28, 2010·QJM : Monthly Journal of the Association of Physicians·B S Buchmaier, D Bösch
Nov 30, 2010·Pediatric Clinics of North America·Jose M Garza, Ajay Kaul
Dec 13, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Toru KimuraHiroyuki Shiono
Jun 24, 2016·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M ZimmermannE Schloericke

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Methods Mentioned

BETA
x-ray

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