[Oesophageal perforations from instrumentation during high fibroscopy. Radiological signs (author's transl)].
The authors report on a survey of perforation following fibroscopy in the Hôpital Saint-Antoine. A total of 10,600 diagnostic examinations were reviewed and 5 perforations were recorded, to which must be added 2 perforations following oesophageal dilatation. A chesy X-ray, taken within 24 hours of the incident, showed, in most cases, the presence of air in the mediastinum with early signs of subcutaneous emphysema in the cervical or cervicothoracic regions. A hydro-pneumothorax in the right side of the chest was also observed in the cases studied, without air in the mediastinum. Oesophageal transit was studied by means of a water-soluble compound, and showed oesophageal effraction in only 4 cases, and in 3 of these cases it was possible to see the location of the orifice with precision.
D000328:Adult; D000368:Aged; D004106:Dilatation / Q000009:adverse effects; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D004940:Esophageal Stenosis / Q000628:therapy; D004945:Esophagoscopy / Q000009:adverse effects*; D005260:Female; D005336:Fiber Optic Technology; D005773:Gastroscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology; D008875:Middle Aged; D011859:Radiography; D013352:Subcutaneous Emphysema / Q000209:etiology
Perforations instrumentales de loesophage au cours des fibroscopies hautes. Signes radiologiques.