title: Spontaneous esophageal perforation in a patient with achalasia cardia and rheumatoid arthritis.
abstract: Perforation of stasis ulcers in achalasia cardia has not been reported in literature. We report a 45-year-old lady with achalasia and rheumatoid arthritis who developed perforation and esophago-mediastinal sinus at the site of stasis ulcers. She succumbed to respiratory infection after resection of the sinus tract, Heller's cardiomyotomy, cervical esophagostomy and feeding jejunostomy.
authors.affiliation: Department of Gastroenterology, T N Medical College and B Y L Nair Ch. Hospital, Mumbai - 400 008, India.
authors.forename: Vaibhav S
authors.initials: VS
authors.lastname: Banait
authors.forename: Veerendra
authors.initials: V
authors.lastname: Sandur
authors.forename: M
authors.initials: M
authors.lastname: Murugesh
authors.forename: S V
authors.initials: SV
authors.lastname: Ramesh
authors.forename: Jasmina
authors.initials: J
authors.lastname: Sawak
authors.forename: A K
authors.initials: AK
authors.lastname: Gwalani
authors.forename: Anjali D
authors.initials: AD
authors.lastname: Amarapurkar
authors.forename: Shobna J
authors.initials: SJ
authors.lastname: Bhatia
mesh_terms: D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000473:pathology*; D002404:Catheterization; D004931:Esophageal Achalasia / Q000150:complications* / Q000473:pathology* / Q000628:therapy; D004935:Esophageal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D049630:Esophageal Sphincter, Lower / Q000293:injuries / Q000473:pathology / Q000601:surgery; D004946:Esophagostomy; D005260:Female; D006801:Humans; D007582:Jejunostomy; D008875:Middle Aged; D012086:Reoperation; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D014456:Ulcer / Q000150:complications / Q000628:therapy