Morgom Marwa, Saeed Leena, Ali Hanna, Elhassan Hadeel
Emergency Medicine, Hamad Medical Corporation, Doha, QAT.
Internal Medicine, Medical Research Center, Hamad Medical Corporation, Doha, QAT.
Cureus. 2024 Jul 27;16(7):e65482. doi: 10.7759/cureus.65482. eCollection 2024 Jul.
Esophageal perforation is a serious medical condition characterized by a tear or hole in the muscular layer. This case report details the presentation, diagnosis, and treatment of a patient with missed esophageal perforation at an emergency department. The report highlights treatment options, missed findings from the chest X-ray, and relevant case details. Management primarily depends on prompt detection and intervention through conservative measures or surgical repair. Identifying the issue within the initial hours after presentation can significantly decrease the mortality rate, which can be as high as 30%.
食管穿孔是一种严重的病症，其特征为肌层出现撕裂或孔洞。本病例报告详细介绍了一名在急诊科被漏诊的食管穿孔患者的临床表现、诊断及治疗情况。该报告强调了治疗方案、胸部X光检查中漏诊的结果以及相关病例细节。治疗主要取决于通过保守措施或手术修复进行及时检测和干预。在出现症状后的最初数小时内识别出问题可显著降低死亡率，死亡率可能高达30%。
