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Tsalis K, Blouhos K, Kapetanos D, et al. Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report review of the literature. Cases J. 2009;2:6784doi: 10.4076/1757-1626-2-6784.
Tsalis, K., Blouhos, K., Kapetanos, D., Kontakiotis, T., & Lazaridis, C. (2009). Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report review of the literature. Cases journal, 26784. https://doi.org/10.4076/1757-1626-2-6784
Tsalis, Konstantinos, et al. "Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report review of the literature." Cases journal vol. 2 (2009): 6784. doi: https://doi.org/10.4076/1757-1626-2-6784
Tsalis K, Blouhos K, Kapetanos D, Kontakiotis T, Lazaridis C. Conservative management for an esophageal perforation in a patient presented with delayed diagnosis: a case report review of the literature. Cases J. 2009 Sep 15;2:6784. doi: 10.4076/1757-1626-2-6784. PMID: 19918542; PMCID: PMC2769312.
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Cases J. 2009 Sep 15;2:6784. doi: 10.4076/1757-1626-2-6784.

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

Cases journal

Konstantinos Tsalis, Konstantinos Blouhos, Dimitrios Kapetanos, Theodore Kontakiotis, Charalampos Lazaridis

Affiliations

  1. Surgical Department, Aristotle University of Thessaloniki, George Papanikolaou Str, Thessaloniki, 57010, Greece. [email protected]

PMID: 19918542 PMCID: PMC2769312 DOI: 10.4076/1757-1626-2-6784

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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