Internal Drainage of an Esophageal Perforation in a Patient with a High Surgical Risk.
10.5090/kjtcs.2017.50.5.395
- Author:
Hongsun KIM
1
;
Younghwan KIM
;
Jong Ho CHO
;
Yang Won MIN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine, Korea. mic95@naver.com
- Publication Type:Case Report
- Keywords:
Esophageal perforation;
Mediastinitis
- MeSH:
Abscess;
Aged;
Cough;
Drainage*;
Empyema;
Esophageal Perforation*;
Fever;
Hemothorax;
Humans;
Mediastinitis;
Mediastinum;
Pneumonia, Aspiration;
Sepsis;
Thoracic Surgery;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(5):395-398
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 71-year-old man presented with a productive cough and fever, and he was diagnosed as having an esophageal perforation and a mediastinal abscess. He had a history of traumatic hemothorax and pleural drainage for empyema in the right chest and was considered unable to tolerate thoracic surgery because of sepsis and progressive aspiration pneumonia. In order to aggressively drain the mediastinal contamination, we performed internal drainage by placing a Levin tube into the mediastinum through the perforation site. This procedure, in conjunction with controlling sepsis and providing sufficient postpyloric nutrition, allowed the esophageal injury to completely heal.
