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A case of esophageal perforation: Clinical and diagnostic management in emergency medicine

Marco Di Serafino, Maurizio Martorano, Pamela Delmonaco, Chiara Gullotto, Andrea Baglioni, Leonardo Martinelli, Riccardo Savastano, Enrico Scarano, Francesco Lisanti
  • Maurizio Martorano
    Intensive Care Unit, San Carlo Hospital, Potenza, Italy
  • Pamela Delmonaco
    Emergency Department, San Carlo Hospital, Potenza, Italy
  • Chiara Gullotto
    Emergency Department, Cisanello Hospital, Pisa, Italy
  • Andrea Baglioni
    Careggi University Hospital, Florence, Italy
  • Leonardo Martinelli
    Emergency Department, Cisanello Hospital, Pisa, Italy
  • Riccardo Savastano
    San Giovanni di Dio e Ruggi d’Aragona Univeristy Hospital, Salerno, Italy
  • Enrico Scarano
    Radiology Department, San Carlo Hospital, Potenza, Italy
  • Francesco Lisanti
    Intensive Care Unit, San Carlo Hospital, Potenza, Italy

Abstract

Esophageal perforation is a welldefined and severe clinical condition. The associated mortality rates range between 5% and 40% and are worsened by delayed diagnosis. Rapid diagnosis and therapy provide the best chance for survival; however, a delay in diagnosis is common, resulting in substantial morbidity and mortality. There are several aetiologies of esophagus perforation. Most esophageal ruptures are secondary to medical instrumentation. Other causes are Boerhaave syndrome, toxic ingestions and radiation, foreign body ingestion, penetrating trauma, and, rarely, blunt chest trauma. We reported the clinical management and the diagnostic work-up case of esophagus perforation due to the foreign body ingestion.

Keywords

Esophageal perforation; pneumomediastinum; penumothorax; subcutaneous emphysema

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Submitted: 2017-06-11 19:29:09
Published: 2018-03-09 14:27:51
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Copyright (c) 2018 Marco Di Serafino, Maurizio Martorano, Pamela Delmonaco, Chiara Gullotto, Andrea Baglioni, Leonardo Martinelli, Riccardo Savastano, Enrico Scarano, Francesco Lisanti

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