title: [Esophageal perforation caused by a foreign body. Apropos of a case report].
abstract: This report describes an esophageal foreign body perforation treated with T-tube drainage. The clinical diagnosis was delayed erroneously and by the absence of extravasation of water--soluble contrast material. The diagnosis has finally been made by a fiberoptic oesophagogastroscopy and a mediastinal computed tomography. As the external drainage by pleural drainage was inefficient, the authors opted for a surgical treatment, and the perforation was closed on a T-tube. Considering this case as well as the review of the different reports, urgent surgery seems to be only recommended for large esophageal perforations and for small non-cervical perforations where external drainage is inefficient.
authors.affiliation: Service de Chirurgie Digestive, C.H.U. Arthur Gailly, Charleroi, Belgique.
authors.forename: G B
authors.initials: GB
authors.lastname: Cadière
authors.forename: J
authors.initials: J
authors.lastname: Ansay
mesh_terms: D015505:Chest Tubes; D003952:Diagnostic Imaging; D004322:Drainage / Q000379:methods*; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging; D005774:Gastrostomy; D006801:Humans; D006876:Hydrothorax / Q000209:etiology; D007582:Jejunostomy; D008875:Middle Aged; D011859:Radiography
vernacular_title: Perforations oesophagiennes par un corps étranger. A propos d'une observation.