Iatrogenic Large Esophageal perforation caused by Sengstaken-Blackmore Tube.
- Author:
Young Cul YOON
1
;
Kwang Hyun CHO
;
Young Min KWON
;
Hee Jae JUN
;
Kang Joo CHOI
;
Yang Haeng LEE
;
Yoon Ho HWANG
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea. ppcsyoon@hanmail.net
- Publication Type:Case Report
- Keywords:
Esophageal perfroation;
Iatrogenic disease;
Balloon
- MeSH:
Drainage;
Empyema;
Esophageal and Gastric Varices;
Esophageal Perforation*;
Esophagus;
Hemorrhage;
Hemothorax;
Humans;
Iatrogenic Disease;
Middle Aged;
Thoracostomy;
Thoracotomy;
Varicose Veins
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(1):51-54
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This patient was an 53-year-old man who had undergone Sengstaken-Blackmore tube insertion for esophageal varix bleeding. Two days after Sengstaken-Blackmore tube insertion, he developed severe left hemothorax and was transferred to our hospital. The esophagoscopic findings revealed a large perforation lengthening 8-cm in the intrathoracic esophagus. A left thoracotomy was performed 33 days after the injury due to repeated varix bleedings and poor conditions. An 8-cm longitudinal perforation of the intrathoracic esophagus with gross suppurative empyema was found. Primary repair and esophageal exclusion was performed 2cm proximal and distal to the perforation, using rows of nonabsorbable staplers (TA stapler 60x4.8) and large bore thoracostomy tubes were placed for local drainage. Six days after intrathoracic esophageal exclusion, an esophagogram revealed a leakage at just above the proximal stapling site. A cervical esophageal exclusion was performed using the same method. One hundred thirty seven days after exclusion operation for the intra-thoracic esophageal perforation, the patient was able to eat per orally without any secondary esophageal reconstructive surgery.
