Treatment of esophageal perforation or rupture is complicated and controversial, especially in advanced cases. In fact, it is generally accepted that this disease must be treated individually according to the location, causes and clinical features of rupture or perforation. A very rare case was admitted to our department, who was injured 5 days ago by high-pressure gas of a running air compressor and resulted in a long-term longitudinal rupture of the thoracic esophagus. Although the patient suffered from empyema and mediastinitis at the same time, and his condition was very serious, the debridement and desquamation of empyema were still implemented, followed by left thoracic esophagectomy and left neck approach esophagogastrostomy in the same period successfully. The patient got a good result finally.
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| http://dx.doi.org/10.1186/s13019-023-02208-2 | DOI Listing |
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Article Synopsis
- * Initial treatments included antibiotics but follow-up revealed worsening symptoms and a diagnosis of empyema, which was linked to a bacterial infection from periodontal disease rather than standard sources.
- * The case emphasizes the need to investigate rare pathogens in pleural infections, especially those that may originate from oral health issues, highlighting how complex these conditions can be in patients with multiple health concerns.
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