Delayed presentation of intrathoracic esophageal perforation after pneumatic dilation for achalasia.
Pneumatic dilation (PD) is considered to be a safe and effective first line therapy for achalasia. The major adverse event caused by PD is esophageal perforation but an immediate gastrografin test may not always detect a perforation. It has been reported that delayed management of perforation for more than 24 h is associated with high mortality. Surgery is the treatment of choice within 24 h, but the management of delayed perforation remains controversial. Hereby, we report a delayed presentation of intrathoracic esophageal perforation following PD in a 48-year-old woman who suffered from achalasia. She completely recovered after intensive medical care. A review of the literature is also discussed.
Lin
Ming-Tzung
MT
Division of Hepatogastroenterology, Chang Gang Memorial Hospital, Niaosung Hsiang, Kaohsiung Country 833, Taiwan, China.
Tai
Wei-Chen
WC
Chiu
King-Wah
KW
Chou
Yeh-Pin
YP
Tsai
Ming-Chao
MC
Hu
Tsung-Hui
TH
Lee
Chuan-Mo
CM
Changchien
Chi-Sin
CS
Chuah
Seng-Kee
SK
D002404:Catheterization / Q000009:adverse effects*; D002637:Chest Pain / Q000209:etiology; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods; D004931:Esophageal Achalasia / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome