AI Article Synopsis
- An 83-year-old female patient arrived at the Emergency Department with breathing difficulties, serious swallowing issues, and chest pain after vomiting.
- A medical evaluation confirmed a rupture in her esophagus, along with complications like hydropneumothorax and subcutaneous emphysema, through imaging scans.
- She was treated with conservative methods, including a closed thoracostomy and antibiotics, but later developed a narrowing of the esophagus that required the placement of a self-expanding stent.
Article Abstract
An 83-year-old female patient presented to the Emergency Department with shortness of breath, difficulty swallowing and left-sided chest pain following a vomiting attempt. A rupture in the left lower third of the esophagus, with hydropneumothorax, pneumomediastinum, and subcutaneous emphysema was revealed by chest X-ray, thoracic computed tomography scan, and contrast esophagography. The patient was successfully treated conservatively with closed thoracostomy, intravenous fluids, parenteral nutrition, and broad-spectrum antibiotics coverage. Following the successful conservative treatment, the patient developed a distal esophageal stenosis which was treated with an intra-esophageal self-expanding stent.
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| http://dx.doi.org/10.24875/CIRU.20000882 | DOI Listing |
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