title: Computed tomography-guided mediastinal drainage for iatrogenic perforation of the esophagus.
abstract: We report a case of perforation of the esophagus associated with mediastinitis and pneumomediastinum during endoscopic treatment. The patient was successfully treated by means of nonsurgical computed tomography-guided mediastinal drainage. Esophagoscopy demonstrated a scar on the 14th day at the perforation site. This nonsurgical treatment with computed tomography-guided mediastinal drainage is proposed as a less invasive treatment for iatrogenic perforation of the esophagus.
authors.affiliation: Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine, Tokyo, Japan. miyashit@nms.ac.jp
authors.forename: Masao
authors.initials: M
authors.lastname: Miyashita
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Nomura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Makino
authors.forename: Nobutoshi
authors.initials: N
authors.lastname: Hagiwara
authors.forename: Ken
authors.initials: K
authors.lastname: Takahashi
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Sakata
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nagata
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Iwakiri
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tajima
authors.forename: Takashi
authors.initials: T
authors.lastname: Tajiri
mesh_terms: D000368:Aged; D004322:Drainage / Q000379:methods*; D004939:Esophageal Perforation / Q000209:etiology* / Q000628:therapy*; D005260:Female; D005773:Gastroscopy / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease; D008478:Mediastinal Emphysema / Q000209:etiology / Q000628:therapy; D008482:Mediastinum; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome