Bazerbashi Samer, Villaquiran Jaime, Bennett Mark, Unsworth-White Michael Jonathan, Rahamim Joe
South West Cardiothoracic Centre, Derriford Hospital, Plymouth, United Kingdom.
Ann Thorac Surg. 2008 Oct;86(4):1367-9. doi: 10.1016/j.athoracsur.2008.03.028.
Esophageal perforation is a rare, but life-threatening condition with a mortality rate ranging between 10% and 40%. It can happen at the level of the cervical, intrathoracic, or intra-abdominal segment. It usually occurs as a result of iatrogenic injury after endoscopic procedures or as a spontaneous rupture. It is seen less frequently in trauma after gunshot or stab wounds. Stenting of the esophagus after iatrogenic perforation is well documented in the literature, but yet it is to be published for management of penetrating injury. We report a case of esophageal perforation with a wooden fence post treated successfully with a covered esophageal stent.
食管穿孔是一种罕见但危及生命的疾病,死亡率在10%至40%之间。它可发生在颈段、胸段或腹段食管。通常是内镜手术后医源性损伤或自发性破裂所致。在枪伤或刺伤后的创伤中较少见。医源性穿孔后食管支架置入在文献中有充分记载,但穿透伤的治疗方法尚未见报道。我们报告一例用带膜食管支架成功治疗的被木栅栏柱刺伤导致的食管穿孔病例。