[Iatrogenic rupture of the esophagus: presentation of several cases].
Four cases of iatrogenic rupture of the oesophagus are presented. The site of the lesion was in the cervical tract in 1 case and in the thoracic tract in the other 3 cases. Their etiology was pneumatic endoscopic dilatation for achalasia in 2 cases, endoscopic insertion of a Celestin tube for carcinoma of the thoracic tract of the oesophagus in 1 case, and diagnostic endoscopy in the last one. Instrumental findings were relevant in all cases. All patients underwent surgery. In the patients suffering from achalasia, the rupture was repaired by a patch of the gastric fundus. The patient suffering from carcinoma underwent an oesophageal resection, the one with cervical perforation underwent a mediastinal drainage. There were no deaths or considerable post operating complications. In a patient suffering from achalasia gastro-oesophageal reflux was demonstrated after some months following the operation.
Montresor
E
E
Istituto di Patologia Chirurgica, Cattedra di Chirurgia Generale, Università degli Studi, Verona.
Mangiante
G
G
Lupi
A
A
Gorla
A
A
Perus
G
G
Falezza
G
G
Modena
S
S
Puchetti
V
V
D000368:Aged; D000369:Aged, 80 and over; D004106:Dilatation / Q000009:adverse effects*; D004724:Endoscopy / Q000009:adverse effects*; D004931:Esophageal Achalasia / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000628:therapy; D004947:Esophagus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007440:Intubation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012421:Rupture; D014057:Tomography, X-Ray Computed
Le rotture iatrogeniche dell'esofago: presentazione di alcuni casi.