Open Access Case Report

Esophageal Perforation with Successful Clinical Management: Case Report

Paulo Alberto Falco Pires Corrêa1, Jarbas Faraco Maldonado Loureiro1*, Savério Tadeu de Noce Armellini1, Pedro Henrique Avelar Fonseca Cardoso1, Deborah Marques Centeno1, Sandra Regina Arcencio2 and Ângelo Fernandez3

1Department of Digestive Endoscopy, Hospital Sírio-Libanês, Brazil

2Department of Medical Clinic, Hospital Sírio-Libanês, Brazil

3Department of Thoracic Surgery, Hospital Sírio-Libanês, Brazil

Corresponding Author

Received Date: December 07, 2021;  Published Date: February 04, 2022


Esophageal perforation is a serious condition that has an unfavorable prognosis, especially when diagnosed late. The main causes are iatrogenics and foreign body ingestion. Clinical manifestations may be nonspecific, which delays their identification. When suspected, exams such as radiography and tomography should be requested to confirm the perforation. The conventional treatment is surgical, in addition to antibiotics and suspension of oral diet. Endoscopy has become an option in the therapeutic arsenal, being less invasive and showing good results. However, as seen in this case report, when the patient does not have systemic manifestations, expectant (non-surgical) management may be an appropriate option with a satisfactory outcome.

Keywords: Perforation; Esophagus; Endoscopy; Foreign body; Clinical management

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