title: Esophageal wall rupture after EUS-FNA for mediastinal staging: report of two cases.
abstract: Esophageal wall rupture after EUS-FNA for mediastinal staging is a severe complication. Here we describe the management of two patients with esophageal wall rupture and the presence of empyema. Management was in both cases surgical and consisted of a decortication via thoracotomy. Postoperative IV antibiotics and parenteral nutrition were continued until the first negative X-ray with gastrografin. Both patients recovered and left the hospital in good condition and with oral intake.
authors.affiliation: a Department of Thoracic Surgery , Gasthuisberg University Hospital , Leuven , Belgium.
authors.forename: Vincent
authors.initials: V
authors.lastname: Ceuterick
authors.affiliation: a Department of Thoracic Surgery , Gasthuisberg University Hospital , Leuven , Belgium.
authors.forename: Herbert
authors.initials: H
authors.lastname: Decaluwé
authors.affiliation: a Department of Thoracic Surgery , Gasthuisberg University Hospital , Leuven , Belgium.
authors.forename: Willy
authors.initials: W
authors.lastname: Coosemans
authors.affiliation: a Department of Thoracic Surgery , Gasthuisberg University Hospital , Leuven , Belgium.
authors.forename: Philippe
authors.initials: P
authors.lastname: Nafteux
authors.affiliation: a Department of Thoracic Surgery , Gasthuisberg University Hospital , Leuven , Belgium.
authors.forename: Hans
authors.initials: H
authors.lastname: Van Veer
authors.affiliation: a Department of Thoracic Surgery , Gasthuisberg University Hospital , Leuven , Belgium.
authors.forename: Dirk
authors.initials: D
authors.lastname: Van Raemdonck
authors.affiliation: a Department of Thoracic Surgery , Gasthuisberg University Hospital , Leuven , Belgium.
authors.forename: Paul
authors.initials: P
authors.lastname: De Leyn
mesh_terms: D000369:Aged, 80 and over; D004636:Emergency Service, Hospital; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000009:adverse effects* / Q000379:methods; D004947:Esophagus / Q000293:injuries*; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D008207:Lymphatic Metastasis; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology* / Q000601:surgery; D009367:Neoplasm Staging; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012421:Rupture / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome
keywords: Endoscopy/endoscopic procedures; empyema; esophageal injury/perforation; mediastinal lymph nodes