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Intramucosal esophageal dissection leading to esophageal perforation case report and review of the literature.
Eventually, the site of esophageal perforation is occluded by a clot and hematoma that leads to partial tamponade that prevents subsequent bleeding [3].
Boerhaave syndrome, or spontaneous esophageal perforation, has a similar presentation to pneumomediastinum but is more likely to be accompanied by hypotension and shock.
Esophageal perforation caused by fish vertebra ingestion in a seven month old infant demanded surgical intervention: a case report.
To be in old age, existence of pain in thorax and epigastrium, history of two times vomiting, changes in ECG and a past history of hospitalization in CCU aroused doctor's suspicion to cardiac angina at first step and then peptic ulcer and chlolecystitis Furthermore, regarding the epigastric pain with coexistence of vomiting in addition of increasing the level of serum amylase a diagnosis of pancreatitis was made, However in esophageal perforation there is also an increase in serum amylase.
There has been reported that unsuccessful endoscopic extraction of dentures induced a large esophageal perforation, leading to an urgent esophagectomy [4].
Rare findings on physical examination include fever, pharyngeal erythema, wheezing or pulmonary consolidation, and subcutaneous emphysema suggestive of esophageal perforation.
Andaz and Sainathan's analysis of 35 cases of esophageal perforation from 22 studies.
Contemporaneous management of esophageal perforation.
Left cervicotomy was performed with later giant polyp removal (20 cm long); the pedicle was found in the upper third, 7 cm from the dental arch, in addition to purulent fluid (10 ml) and esophageal perforation (Figure 4).
They included three pneumothoraces, which were treated in the recovery unit with needle decompression, an esophageal perforation that was recognized and repaired intraoperatively, and an esophageal perforation that was noted on postoperative day 2 and required a reoperation.
The most common causes are esophageal perforation and postoperative infection, particularly following median sternotomy.