Conservative Management of an Iatrogenic Esophageal Tear in Kenya
Since its description over 250 years ago, diagnosis of esophageal perforation remains challenging, its management controversial, and its mortality high. This rare, devastating, mostly iatrogenic, condition can quickly lead to severe complications and death due to an overwhelming inflammatory respons...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/102540 |
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| _version_ | 1832552170253189120 |
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| author | Peter Waweru David Mwaniki |
| author_facet | Peter Waweru David Mwaniki |
| author_sort | Peter Waweru |
| collection | DOAJ |
| description | Since its description over 250 years ago, diagnosis of esophageal perforation remains challenging, its management controversial, and its mortality high. This rare, devastating, mostly iatrogenic, condition can quickly lead to severe complications and death due to an overwhelming inflammatory response to gastric contents in the mediastinum. Diagnosis is made with the help of esophagograms and although such tears have traditionally been managed via aggressive surgical approach, recent reports emphasize a shift in favor of nonoperative care which unfortunately remains controversial. We here present a case of an iatrogenic esophageal tear resulting from a routine esophagoscopy in a 50-year-old lady presenting with dysphagia. The esophageal tear, almost missed, was eventually successfully managed conservatively, thanks to a relatively early diagnosis. |
| format | Article |
| id | doaj-art-93f82de608954fae801e35223a962f00 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-93f82de608954fae801e35223a962f002025-02-03T05:59:23ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/102540102540Conservative Management of an Iatrogenic Esophageal Tear in KenyaPeter Waweru0David Mwaniki1Department of Surgery, St. Mary’s Mission Hospital, P.O. Box 3409, Nairobi 00506, KenyaDepartment of Surgery, The Karen Hospital, P.O. Box 74240, Nairobi 00200, KenyaSince its description over 250 years ago, diagnosis of esophageal perforation remains challenging, its management controversial, and its mortality high. This rare, devastating, mostly iatrogenic, condition can quickly lead to severe complications and death due to an overwhelming inflammatory response to gastric contents in the mediastinum. Diagnosis is made with the help of esophagograms and although such tears have traditionally been managed via aggressive surgical approach, recent reports emphasize a shift in favor of nonoperative care which unfortunately remains controversial. We here present a case of an iatrogenic esophageal tear resulting from a routine esophagoscopy in a 50-year-old lady presenting with dysphagia. The esophageal tear, almost missed, was eventually successfully managed conservatively, thanks to a relatively early diagnosis.http://dx.doi.org/10.1155/2015/102540 |
| spellingShingle | Peter Waweru David Mwaniki Conservative Management of an Iatrogenic Esophageal Tear in Kenya Case Reports in Surgery |
| title | Conservative Management of an Iatrogenic Esophageal Tear in Kenya |
| title_full | Conservative Management of an Iatrogenic Esophageal Tear in Kenya |
| title_fullStr | Conservative Management of an Iatrogenic Esophageal Tear in Kenya |
| title_full_unstemmed | Conservative Management of an Iatrogenic Esophageal Tear in Kenya |
| title_short | Conservative Management of an Iatrogenic Esophageal Tear in Kenya |
| title_sort | conservative management of an iatrogenic esophageal tear in kenya |
| url | http://dx.doi.org/10.1155/2015/102540 |
| work_keys_str_mv | AT peterwaweru conservativemanagementofaniatrogenicesophagealtearinkenya AT davidmwaniki conservativemanagementofaniatrogenicesophagealtearinkenya |