Esophageal perforation after transesophageal echocardiography: A case report.
Endoscopic approach
Esophageal perforation
Minimally invasive
Transesophageal echocardiography
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
24
08
2019
revised:
01
11
2019
accepted:
06
11
2019
pubmed:
4
12
2019
medline:
4
12
2019
entrez:
3
12
2019
Statut:
ppublish
Résumé
Esophageal perforation is a rare and severe complication following transesophageal echocardiography (TEE) that carries high morbidity and mortality rates. Management of these perforations usually requires complex open surgeries. We present the case of an esophageal perforation following TEE treated with a combined approach of upper endoscopy and left cervicotomy. An 80 y/o male patient underwent a diagnostic TEE for mitral regurgitation. After discharge patient consulted back on the same day to the Emergency Department and a perforation of the cervical esophagus was diagnosed associated to an air-fluid collection in the mediastinum. The patient was treated with endoscopic closure of the perforation and left cervicotomy for mediastinal drainage. Patient was discharged home on POD 31 after full recovery. A written consent was previously obtained, and Institutional Review Board approval was not needed. Although not frequently seen, complications following TEE can be devastating if not diagnosed and treated early. Endoscopic closure of an esophageal perforation is a safe and feasible option with the already known advantages of a minimally invasive approach. Surgeons should have high suspicion if a patient present with characteristic symptoms after an uneventful procedure. Esophageal perforation is a very rare complication of TEE. High suspicion is mandatory to reach prompt diagnosis and install effective treatment. Primary closure of the perforation is the treatment of choice, and the endoscopic approach is a safe and feasible option in high volume centers.
Identifiants
pubmed: 31790946
pii: S2210-2612(19)30654-6
doi: 10.1016/j.ijscr.2019.11.020
pmc: PMC6909181
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
21-24Informations de copyright
Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest Facundo Iriarte, German A. Riquelme, Pablo Sorensen, Daniel E. Pirchi and Matias Mihura Irribarra declare that there is no conflict of interest regarding the publication of this article.
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