Esophageal Perforation with Successful Clinical Management: Case Report

Jarbas Faraco Maldonado Loureiro

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

abstract

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

Article Details

Citation

Paulo Alberto Falco Pires Corrêa, Jarbas Faraco Maldonado Loureiro, Savério Tadeu de Noce Armellini etc all... Esophageal Perforation with Successful Clinical Management: Case Report. Acad J Gastroenterol & Hepatol. 3(2): 2022. AJGH.MS.ID.000558. DOI: 10.33552/AJGH.2022.03.000558

Keywords

Perforation, Esophagus, Endoscopy, Foreign body, Clinical management, Iatrogenics, Trauma, Chest, Epigastric region, Neck pain, Dysphagia, Arterial hypertension, Dyslipidemia