Pneumomediastinum after self-dilation of the esophagus.
Pneumomediastinum following esophageal perforation is a known complication of Eder Puestow dilation for esophageal stenosis. This is the first reported case of esophageal perforation and pneumomediastinum occurring after instrumental self-dilation of a stenotic esophageal lesion. The observed 0.02 percent perforation rate in this patient (compared to the reported 0.3 percent in Eder Puestow "hetero"-dilation) makes the Eder Puestow auto-dilation procedure seem justifiable in a well-trained and well-informed patient.
D000368:Aged; D004106:Dilatation / Q000009:adverse effects*; D004939:Esophageal Perforation / Q000150:complications* / Q000209:etiology; D004940:Esophageal Stenosis / Q000628:therapy; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology*; D012648:Self Care