ISSN 2398-2950      

Esophagus: perforation

ffelis

Introduction

  • Cause: ingestion of sharp foreign bodies Esophagus: foreign body, eg needle, chronic neglected foreign body obstruction (more common), iatrogenic tears during esophagoscopy Esophagoscopy  or intubation Nasoesophageal intubation, bite wounds to cervical region.
  • Signs: pyrexia, pain, anorexia, peri-esophageal swelling, crepitation, cervical drainage and abscess development/thoracic mediastinitis Mediastinal disease, pleurisy Pleurisy, cough, dyspnea.
  • Thoracic perforation much more serious than esophageal perforation - very high mortality rate.
  • Treatment: depends on severity and site of lesion: conservative management, primary repair, patch graft, colonic or jejunal transplants, esophageal resection.
  • Prognosis: depends on severity and site of lesion and type of surgical repair needed.

Pathogenesis

Etiology

  • Trauma: ingestion of sharp foreign body, chronic/neglected foreign body obstruction (most common), iatrogenic tears during esophagoscopy, bite wounds to cervical region, intubation of esophagus.

Pathophysiology

Cervical perforation

  • May cause: peri-esophageal swelling, crepitation, cervical drainage and abscess development.

Thoracic perforation

  • More serious, results in mediastinitis.
  • Mediastinal abscessation or empyema and pleurisy may result if contamination spreads beyond mediastinum.
  • Even when detected at an early stage - very high mortality.

Diagnosis

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Treatment

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Flanders J A (1989) Problems and complications associated with esophageal surgery. Probl Vet Med (2), 183-194 PubMed.

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!

 
 
 
 

To show you are not a Bot please can you enter the number showing adjacent to this field

 Security code