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Successful stenting of four spontaneous oesophageal perforations in a single patient during a 3-year period
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Upper Abdominal Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Upper Abdominal Surgery.
2016 (English)In: Journal of Surgical Case Reports, ISSN 2042-8812, E-ISSN 2042-8812, no 5, rjw046Article in journal (Refereed) Published
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Abstract [en]

Spontaneous oesophageal perforation, a rare condition associated with high mortality due to mediastinitis and multi-organ failure, can be treated surgically or with endoscopic stents. We present a case of four right-sided oesophageal perforations during a 3-year period in a single patient, all successfully stented. The 51-year-old Caucasian male had his first oesophageal perforation in 2012, which was successfully treated with a fully covered endoscopic stent. No residual pathology was seen at stent removal. Two years later, the patient was successfully treated with stents twice for recurrent perforations. The fourth spontaneous perforation at the same site occurred this fall, and again endoscopic treatment was successful. The patient does not report any squeals. In spite of the successful outcome, we would like to emphasize the need for close surveillance and readiness for definitive surgical treatment.

Place, publisher, year, edition, pages
2016. no 5, rjw046
National Category
Surgery
Identifiers
URN: urn:nbn:se:uu:diva-299796DOI: 10.1093/jscr/rjw046ISI: 000378043600002OAI: oai:DiVA.org:uu-299796DiVA: diva2:950145
Available from: 2016-07-27 Created: 2016-07-27 Last updated: 2017-11-28Bibliographically approved

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Sundbom, MagnusHedberg, Jakob

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