Iatrogenic oesophageal perforation

Oesophageal Crohn's disease: a novel approach to managing iatrogenic perforation of an oesophageal Crohn's stricture.

The prevalence of oesophageal Crohn's disease (CD) is 0.3–2%.1 Management is with corticosteroids, 5-aminosalicylic acids, immunomodulators or biologics as for active CD elsewhere plus acid suppression with proton pump inhibitors or H2-receptor antagonists.1 Strictures are additionally treated with repeated dilatations.1 Surgery for strictures is reserved as a final option, because of the assoc...

Oesophageal perforation for oesophageal stone.

Treatment of oesophageal perforation.

Secondary infection of a pre-existing thoracic aortic aneurysm by iatrogenic oesophageal perforation with aorta-oesophageal fistula formation.

We report a case of iatrogenic perforation of the oesophagus, with subsequent infection of a pre-existing thoracic aortic aneurysm and development of an aorto-oesophageal fistula resulting in life-threatening haemorrhage. This was successfully treated with endovascular aortic stent-graft using a Cook Zenith Tx2 device. Follow-up CT scan 3 months later showed that the aneurysm sac is getting sma...

Spontaneous intramural oesophageal perforation.

Spontaneous intramural oesophageal perforation appears at any level, but preferably on the posterior wall, and is usually longitudinal. Unlike the Mallory Weiss and the Boerhaave syndromes, females are more frequently affected. It appears with sudden retrosternal pain radiating to the epigastrium, neck and back, followed by haematemesis of small quantity and dysphagia. Vomiting is rare. In cont...