Al-Ihribat Alaa R, Ahmad Jamal, Qunaibi Yaman N, Abukhalaf Anas A, Alasafrah Anas
College of Medicine and Health Sciences, Palestine Polytechnic University, Wadi Al-Hariyah Street, Hebron, Palestine.
General Surgery Department, Al-Ahli Hospital, Hebron, 00970, Palestine.
J Surg Case Rep. 2025 May 30;2025(5):rjaf353. doi: 10.1093/jscr/rjaf353. eCollection 2025 May.
Esophageal perforation (EP) is a rare yet lethal condition defined as a full-thickness disruption of the esophageal wall, associated with high morbidity and mortality. We describe a 30-year-old man who developed EP following a choking episode while eating meat. Despite initial management with gastroscopy, the patient experienced serious complications such as stents migration and development of broncho-esophageal fistulae. He underwent thoracotomy, debridement, and esophageal repair. He was also treated with esophageal stenting, chest physiotherapy and progressive oral intake. The patient eventually improved and was discharged in stable condition. This case underscores the importance of early diagnosis and proper management of EP, as well as the challenges involved in timely diagnosis and treatment.
食管穿孔（EP）是一种罕见但致命的疾病，定义为食管壁全层破裂，伴有高发病率和死亡率。我们描述了一名30岁男性，他在吃肉时发生呛噎后出现食管穿孔。尽管最初进行了胃镜检查，但患者仍出现了严重并发症，如支架移位和支气管食管瘘的形成。他接受了开胸手术、清创和食管修复。他还接受了食管支架置入、胸部物理治疗和逐步经口进食。患者最终病情好转，出院时情况稳定。该病例强调了食管穿孔早期诊断和正确管理的重要性，以及及时诊断和治疗所涉及的挑战。
