title: ESOPHAGEAL PERFORATION FOLLOWING OROGASTRIC SUCTION CATHETER INSERTION IN AN ELDERLY PATIENT.
abstract: Esophageal rupture has been described following iatrogenic manipulation. In this report, we present an elderly lady admitted to the operative theater for laparoscopic cholecystectomy. Multiple intra-operative attempts to place a flexible orogastric tube were unsuccessful because of failure to advance. Post-operatively, the patient developed sepsis and a right pleural effusion. She was transferred to the Intensive Care Unit and she was treated with antibiotics. Radiologic evaluation confirmed an esophago-pleural fistula. Surgical repair was urgently performed for closure of fistula and lung decortication. The patient recovered and was discharged home.
authors.forename: Roland N
authors.initials: RN
authors.lastname: Kaddoum
authors.forename: Fadi
authors.initials: F
authors.lastname: Farah
authors.forename: Rita W
authors.initials: RW
authors.lastname: Saroufim
authors.forename: Salah M
authors.initials: SM
authors.lastname: Zeineldine
mesh_terms: D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D004939:Esophageal Perforation / Q000209:etiology*; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*