Cervical esophageal perforation during gastroscopy in adults: Case report – Report of two cases

2019 ◽  
Vol 16 (2) ◽  
pp. 100
Author(s):  
Apurva Shah ◽  
Shravan Bohra
2019 ◽  
Vol 91 (3) ◽  
pp. 1-5
Author(s):  
Dagmara Radziuk ◽  
Mieczysław Witzling

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.


2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 128-129
Author(s):  
A LAGROTTERIA ◽  
A W Collins ◽  
A Someili ◽  
N Narula

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


2015 ◽  
Vol 42 (3) ◽  
pp. 254-257 ◽  
Author(s):  
Byung-Woo Yoon ◽  
Keun-Ik Yi ◽  
Ji-Hun Kang ◽  
Soon Gu Kim ◽  
Wonjae Cha

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Konstantinos Tsalis ◽  
Konstantinos Blouhos ◽  
Dimitrios Kapetanos ◽  
Theodore Kontakiotis ◽  
Charalampos Lazaridis

2008 ◽  
Vol 2 (1) ◽  
Author(s):  
Baha Al-Shawwa ◽  
Lynn D'Andrea ◽  
Diana Quintero

2013 ◽  
Vol 20 (6) ◽  
pp. 381
Author(s):  
Min Kim ◽  
Song Yi Choi ◽  
Seung Young Lee ◽  
Kwi Young Kang

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Chee Chuan Tang ◽  
Kelvin Voon ◽  
Nagalingam Premnath

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.


2020 ◽  
Vol 11 (02) ◽  
pp. e1-e1
Author(s):  
Prasanta Debnath ◽  
Pravin Rathi ◽  
Sujit Nair ◽  
Suhas Udgirkar ◽  
Sanjay Chandnani ◽  
...  

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