ESOPHAGEAL PERFORATION AND CAUSTIC INJURY: Approach to instrumental perforations of the esophagus

1997 ◽  
Vol 10 (2) ◽  
pp. 86-89 ◽  
Author(s):  
M. Luostarinen ◽  
J. Isolauri
Keyword(s):  
Esophageal Perforation ◽  
Caustic Injury

ESOPHAGEAL PERFORATION AND CAUSTIC INJURY: Emergency management of caustic ingestion

1997 ◽  
Vol 10 (2) ◽  
pp. 95-100 ◽  
Author(s):  
B. Andreoni ◽  
M. L. Farina ◽  
R. Biffi ◽  
C. Crosta
Keyword(s):  
Emergency Management ◽  
Esophageal Perforation ◽  
Caustic Ingestion ◽  
Caustic Injury

A Case of Esophageal Perforation Caused by Gastrointestinal Endoscopy after Chemo-radiotherapy for Head and Neck Cancer

2013 ◽  
Vol 64 (4) ◽  
pp. 287-290
Author(s):  
Kiyomi Hamaguchi ◽  
Kazuhiko Shoji ◽  
Ryusuke Hori ◽  
Yusuke Okanoue ◽  
Shintaro Fujimura ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Esophageal Perforation ◽  
Gastrointestinal Endoscopy

scholarly journals A141 SPONTANEOUS ESOPHAGEAL PERFORATION: AN UNREPORTED COMPLICATION OF LYMPHOCYTIC ESOPHAGITIS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 128-129
Author(s):  
A LAGROTTERIA ◽  
A W Collins ◽  
A Someili ◽  
N Narula
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Proton Pump Inhibitor ◽  
Proton Pump ◽  
Esophageal Perforation ◽  
Distal Esophagus ◽  
Chest Discomfort ◽  
History Of ◽  
Lymphocytic Esophagitis

Abstract Background Lymphocytic esophagitis is a new and rare clinicopathological entity. It is a histological pattern characterized by lymphocytic infiltrate without granulocytes. Its etiology and clinical significance remains unclear. The clinical manifestations are typically mild, with reflux and dysphagia the most commonly reported symptoms. Aims We describe a case report of spontaneous esophageal perforation associated with lymphocytic esophagitis. Methods Case report Results A previously well 31-year-old male presented to the emergency department with acute food impaction. His antecedent symptoms were acute chest discomfort and continuous odynophagia following his most recent meal, with persistent globus sensation. The patient had no reported history of allergies, atopy, rhinitis, or asthma. A previous history of non-progressive dysphagia was noted after resuscitation. Emergent endoscopy revealed no food bolus, but a deep 6 cm mucosal tear in the upper-mid esophagus extending 24 to 30 cm from the incisors. Chest computed tomography observed small volume pneumoperitoneum consistent with esophageal perforation. The patient’s recovery was uneventful; he was managed conservatively with broad-spectrum antibiotics, proton pump inhibitor therapy, and a soft-textured diet. Endoscopy was repeated 48 hours later and revealed considerable healing with only a residual 3-4cm linear laceration. Histology of biopsies taken from the mid and distal esophagus demonstrated marked infiltration of intraepithelial lymphocytes. There were no eosinophils or neutrophils identified, consistent with a diagnosis of lymphocytic esophagitis. Autoimmune indices including anti-nuclear antibodies and immunoglobulins were normal, ruling out a contributory autoimmune or connective tissue process. The patient was maintained on a proton pump inhibitor (pantoprazole 40 mg once daily) following discharge. Nearly six months following his presentation, the patient had a recurrence of symptoms prompting representation to the emergency department. He described acute onset chest discomfort while eating turkey. Computed tomography of the chest redemonstrated circumferential intramural gas in the distal esophagus and proximal stomach. Conclusions Esophageal perforation is a potentially life-threatening manifestation of what had been considered and described as a relatively benign condition. From isolated dysphagia to transmural perforation, this case significantly expands our current understanding of the clinical spectrum of lymphocytic esophagitis. Funding Agencies None

scholarly journals Delayed primary repair of intrathoracic esophageal perforation: Is it safe?

1996 ◽  
Vol 111 (1) ◽  
pp. 114-122 ◽  
Author(s):  
Nan Wang ◽  
Anees J. Razzouk ◽  
Ali Safavi ◽  
Karen Gan ◽  
Glen S. Van Arsdell ◽  
...  
Keyword(s):  
Esophageal Perforation ◽  
Primary Repair
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