Esophageal perforation is a condition associated with high morbidity and mortality rates; it requires early diagnosis and treatment. The most common complication of esophageal rupture is mediastinitis. There are several case reports in the literature of mediastinitis secondary to esophageal perforation and development of aortic pseudoaneurysm as a complication. We report the case of a patient w...

Esophageal perforation continues to be a difficult diagnostic and management problem. Recommendations regarding treatment remain controversial. 17 patients with perforation of the esophagus were retrospectively reviewed at the Thoracic Surgery Unit of Imam Khomeini Hospital between 1981 and 1992. The majority of the injuries involved the thoracic esophagus (10 or 59%), followed by the cerv...

BACKGROUND Esophageal perforation after external air-blast trauma is rarely presented in the emergency room. The diagnosis is often delayed more than 24 hours. METHODS We review the literature and report a case of esophageal perforation caused by external air-blast injury. RESULTS Including the present case, a total of 5 cases of esophageal perforation were caused by external air-blast inju...

Esophageal perforation is the most feared complication of transesophageal echocardiography (TEE), although the overall risk is extremely low. We report a case of esophageal perforation in a 77-year-old woman who had no apparent contraindications to TEE. Chronic steroid therapy for symptoms of asthma as well as osteophytic changes of the cervical vertebrae contributed to her increased risk of pe...

Spontaneous esophageal perforation is relatively uncommon, but carries a high mortality rate if diagnosis or treatment is delayed. We report the case of a 68-year-old man with spontaneous esophageal perforation who was successfully treated over 96 h after onset by thoracic drainage and jejunostomy for enteral nutrition. He vomited after drinking alcohol, soon followed by epigastralgia. Heart fa...

There are no previous reports of esophageal perforation due to endoscopic submucosal dissection developing into pyothorax. We herein describe a case of esophageal healing following perforation in a 60-year-old woman undergoing esophageal endoscopic submucosal dissection. Post-procedural computed tomography revealed pyothorax in the right thoracic cavity, compressing the right lung. The pyothora...

esophageal perforation continues to be a difficult diagnostic and management problem. recommendations regarding treatment remain controversial. 17 patients with perforation of the esophagus were retrospectively reviewed at the thoracic surgery unit of imam khomeini hospital between 1981 and 1992. the majority of the injuries involved the thoracic esophagus (10 or 59%), followed by the cervical ...

Although anterior approaches to the cervical spine are popular and safe, they cause some of complications. Esophageal perforation after anterior spinal fusion is a rare but potentially life-threatening complication. We present a rare case of delayed esophageal perforation caused by a cervical screw placed via the anterior approach. A 43-year-old man, who had undergone surgery for complete cord ...

BACKGROUND Esophageal perforation is a serious, but rare complication of high mortality following the endoscopic submucosal dissection (ESD) procedure. The aim of this study is to evaluate the efficacy and safety of nonsurgical treatment of esophageal perforations caused by ESD based on our clinical experience. METHODS From January 2009 to November 2013, 8 patients were diagnosed with endosco...

No consensus has been available to optimize the treatment of delayed esophageal perforation. The present study was to investigate the surgical treatment for delayed esophageal perforation with sternocleidomastoid muscle (SCM) flap after anterior cervical spine surgeries. The diagnosis and treatment of 5 esophageal perforations (May 2004 to January 2013) that occurred in a delayed fashion were r...