Traumatic perforation of oesophagus.

Blunt traumatic rupture of the thoracic oesophagus.

A man with a crush injury of his upper abdomen developed bilateral pulmonary empyema after repair of tears of the oesophagus and liver. Attempts to withdraw chest drains led to recurrent septicaemia, treated by reinsertion of the drains plus administration of antibiotics. The communication of the empyema space with both the bronchial tree and the oesophagus was managed successfully with intermi...

Traumatic rupture of the oesophagus and stomach.

Subtle perforation of the oesophagus by a foreign body.

A case of subtle oesophageal perforation caused by a foreign body is described. A 48-year-old woman had had a chicken bone impacted in the upper oesophagus for 4 days. At presentation, the bone was dislodged at endoscopy, and two small round depressions at opposite sides of the oesophageal wall were visible. The chest X-ray findings were normal. Computed tomography of the thorax detected a smal...

Instrumental perforation of the oesophagus and perforated duodenal ulcer.

Instrumental perforation of the oesophagus is a serious and, unfortunately, not a very rare accident. The occurrence in addition of perforation of a duodenal ulcer constitutes a situation which is rare, difficult to diagnose, and fraught with great danger to the patient. Simultaneous perforation of multiple peptic ulcers has been described in several reports since that of Finney (1900). As pept...

Instrumental perforation of the oesophagus into the pericardial cavity.

A 66 year old man with no previous oesophageal symptoms developed acute dysphagia and vomiting shortly after a large meal. About 16 hours later a large piece of meat was removed from the oesophagus at the 30 cm level under general anaesthesia through a rigid oesophagoscope. The surgeon who performed the endoscopy explored the distal oesophagus for strictures and noticed that the oesophagoscope ...