Overtube-related Delayed Esophageal Perforation with Mediastinitis.
10.4166/kjg.2014.64.4.224
- Author:
Sun Woong KIM
1
;
Yoon Jeong LEE
;
Soo Jung KIM
;
Kyung Ann LEE
;
Ah Ran KIM
;
Sang Woo PARK
;
Won Hyeok CHOE
;
Chan Sup SHIM
Author Information
1. Department of Internal Medicine, Konkuk University Hospital, Konkuk University School of Medicine, Seoul, Korea. 20050101@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Esophageal perforation;
Mediastinitis;
Overtube;
Stents
- MeSH:
Anti-Bacterial Agents;
Back Pain;
Chest Pain;
Endoscopes;
Epidural Space;
Esophageal Perforation*;
Female;
Gastrointestinal Tract;
Humans;
Ligation;
Mediastinitis*;
Middle Aged;
Stents
- From:The Korean Journal of Gastroenterology
2014;64(4):224-228
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Overtube provides a conduit for the passage of endoscope into the digestive tract. Esophageal perforation with mediastinitis is a rare overtube-related complication. Until now, no reports have been published regarding the esophageal perforation which developed many months after the original procedure using the overtube. A 56-year-old female visited our hospital complaining of chest pain and back pain that began 14 days ago. The patient underwent esophageal variceal ligation using the overtube 12 months earlier. She was diagnosed with esophageal perforation with mediastinitis which extended to intervertebral and epidural space. The cause of this condition was considered to have been related to the use of overtube. Management of delayed perforation remains controversial. Although surgical management might be the preferred mode of treatment, she underwent local N-butyl 2-cyanoacrylate injection therapy and temporary stent therapy with antibiotics due to high operative risk. Herein, we report a case of overtube-related delayed esophageal perforation with mediastinitis that was successfully treated by nonoperative management.
