Perforation of the oesophagus with an oblique--viewing endoscope in a patient with caustic stenosis.
A case of accidental oesophageal perforation during endoscopy in an elderly woman with acute alimentary obstruction of a caustic stenosis is presented. This demonstrates the risks in routine use of oblique-viewing endoscopes, especially in oesophageal exploration. The lesion was successfully treated by internal splinting with a Celestin tube. The indications for this kind of treatment arise in elderly patients with poor general condition in whom a preexisting stenosis guarantees the tight fitting of the tube.
D000368:Aged; D002057:Burns, Chemical / Q000150:complications; D004724:Endoscopy / Q000009:adverse effects*; D004939:Esophageal Perforation / Q000209:etiology* / Q000601:surgery; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans