A multistep approach for managing a complex esophageal perforation.

ABSTRACT:

Background and aims

Esophageal perforation in adults is associated with significant morbidity and mortality, with optimal treatment approaches remaining debated. Outcomes are linked to timely diagnosis and appropriate interventions. Common therapeutic options, such as esophageal clips, stents, and suturing, may be ineffective for large perforations. We aimed to show the need for a multistep approach in dealing with difficult perforations.

Methods

An 85-year-old male presented with chest pain and dyspnea, following an endoscopic procedure. He was hemodynamically stable but had leukocytosis (14,400/μL). CT thorax confirmed esophageal perforation with right-sided hydropneumothorax. Due to poor performance status, surgery was deferred. Endoscopy revealed a 4-cm midesophageal per

SUBMITTER: Shetty S 

PROVIDER: S-EPMC12282421 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature