Computed tomography-guided mediastinal drainage for iatrogenic perforation of the esophagus.
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.
Miyashita
Masao
M
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine, Tokyo, Japan. miyashit@nms.ac.jp
Nomura
Tsutomu
T
Makino
Hiroshi
H
Hagiwara
Nobutoshi
N
Takahashi
Ken
K
Sakata
Yoshinori
Y
Nagata
Kazuhiro
K
Iwakiri
Katsuhiko
K
Tajima
Hiroyuki
H
Tajiri
Takashi
T
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