scholarly journals Contained hypopharyngeal and cervical esophageal perforation masquerading as retropharyngeal abscess

2021 ◽  
Author(s):  
Theodore D. Klug ◽  
Courtney B. Shires
Keyword(s):  
Esophageal Perforation ◽  
Retropharyngeal Abscess ◽  
Cervical Esophageal Perforation

Negative pressure wound therapy for cervical esophageal perforation with abscess

2015 ◽  
Vol 42 (3) ◽  
pp. 254-257 ◽  
Author(s):  
Byung-Woo Yoon ◽  
Keun-Ik Yi ◽  
Ji-Hun Kang ◽  
Soon Gu Kim ◽  
Wonjae Cha
Keyword(s):  
Negative Pressure ◽  
Esophageal Perforation ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy ◽  
Cervical Esophageal Perforation

806 CERVICAL ESOPHAGEAL PERFORATION: MULTIMODAL APPROACH TO A RARE AND MORBID CONDITION

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Chee Chuan Tang ◽  
Kelvin Voon ◽  
Nagalingam Premnath
Keyword(s):  
Esophageal Perforation ◽  
Treatment Options ◽  
High Morbidity ◽  
Contrast Study ◽  
Oral Contrast ◽  
Multimodal Approach ◽  
Early Management ◽  
Iatrogenic Perforation ◽  
Diagnosis And Management ◽  
Cervical Esophageal Perforation

Abstract   Cervical esophageal perforation (CEP) is an uncommon but serious surgical condition. It is associated with a high morbidity and mortality if not managed timely, partly due to its close proximity with vital structures in the neck and mediastinum. The common causes include trauma, foreign body ingestion and iatrogenic perforation. The diagnosis and management of CEP remain challenging despite advances in surgery. Methods We present a series of 3 cases of CEPs, with multimodal approach for the management. Results In this series of 3 cases of CEPs with different presentations, tailored management strategies resulted with successful outcomes. Post-procedure/operative oral contrast study revealed no contrast leakage. Conclusion The diagnosis and management of CEP remain challenging despite advances in surgery. Contrasted CT scan and endoscopy are the mainstay of investigations. The treatment options of CEP range from conservative management to endoscopic intervention to surgical repair often with drainage procedures due to its frequent association with collections in the neck, pleural or mediastinal cavity. Prompt detection and early management with multimodal intervention ensure a better outcome in these patients.

Endoscopic treatment of esophageal injury after thyroidectomy – a case report

2019 ◽  
Vol 91 (3) ◽  
pp. 1-5
Author(s):  
Dagmara Radziuk ◽  
Mieczysław Witzling
Keyword(s):  
Case Report ◽  
Nerve Injury ◽  
Esophageal Perforation ◽  
Endoscopic Treatment ◽  
Esophageal Injury ◽  
Recurrent Nerve ◽  
Cervical Esophageal Perforation ◽  
Recurrent Nerve Injury ◽  
Laryngeal Recurrent Nerve

The most common complications after thyroidectomy are postoperative neck hematoma, laryngeal recurrent nerve injury and hypoparathyroidism. [1] However, iatrogenic cervical esophageal perforation is a very rare repercussion of this procedure. In literature there are a few reported cases concerning that complication. We want to report a case of a patient with severe esophageal injury resulted from thyroidectomy.

scholarly journals Cervical Esophageal Perforation and Cricopharyngeal Dysfunction

2011 ◽  
Vol 90 (3) ◽  
pp. E8-E10
Author(s):  
W. Brian Helton ◽  
Raman Unnikrishnan ◽  
Thomas Gal
Keyword(s):  
Esophageal Perforation ◽  
Cervical Esophageal Perforation ◽  
Cricopharyngeal Dysfunction

scholarly journals Cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy: a case report and review of the literature

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Andrea Lovece ◽  
Ioannis Rouvelas ◽  
Masaru Hayami ◽  
Mats Lindblad ◽  
Andrianos Tsekrekos
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Esophageal Perforation ◽  
Fluid Collection ◽  
Muscle Flap ◽  
Adequate Treatment ◽  
First Case ◽  
Relative Safety ◽  
Class 1 ◽  
Cervical Esophageal Perforation

Abstract Background Obesity is considered a chronic disease with an increasing prevalence worldwide during the last decades. Laparoscopic sleeve gastrectomy is the most commonly performed bariatric procedure, due to its relative safety and long-term efficacy. The use of bougie to ensure correct size of the gastric tube is part of the standard operation, usually placed by the anesthesiologist and with a very low rate of complications. We report the first case, to our knowledge, of a cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy. Case presentation The complication occurred in a previously healthy 42-year old female patient who underwent laparoscopic sleeve gastrectomy for class 1 obesity (BMI 31 kg/m2) and was diagnosed the first post-operative day. She was subsequently treated with an emergency thoracoscopy and evacuation of a mediastinal fluid collection, with additional neck incision for primary closure of the esophageal defect which was reinforced with a sternocleidomastoid muscle flap. The post-operative course was uneventful. Conclusions We made a literature review to better understand the options considering the diagnosis and treatment in case of very proximal iatrogenic esophageal perforations. The risks related to the use of bougie during surgery should not be underestimated, and its insertion must be done with extreme caution. Esophageal perforation is still a challenging, life threatening complication where prompt diagnosis and adequate treatment are essential.

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