[Drainage-lavage and closure of a late esophageal perforation with esophagopleural fistula and encysted pleural effusion after endoscopic injection sclerotherapy for varices]. / Fermeture par drainage-lavage d'une fistule oeso-pleurale avec pleurésie enkystée secondaire à une perforation de l'oesophage après sclérose de varices.
Gastroenterol Clin Biol
; 27(11): 1031-4, 2003 Nov.
Article
en Fr
| MEDLINE
| ID: mdl-14732850
We report a case of late perforation of the thoracic esophagus with an esophagopleural fistula after endoscopic sclerotherapy for esophageal varices in a Child-Pugh B9 cirrhotic patient. The existence of a thoracic empyema without diffuse mediastinitis allowed management of the fistula by percutaneous drainage-lavage and antibiotic therapy with subsequent closure of the esophageal wall defect and recovery from sepsis. This observation indicates that minimally invasive management of an esophageal perforation complicated by an esophago-pleural fistula is possible in highly selected patients.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades Pleurales
/
Escleroterapia
/
Drenaje
/
Fístula del Sistema Respiratorio
/
Fístula Esofágica
/
Esofagoscopía
/
Perforación del Esófago
Tipo de estudio:
Etiology_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Gastroenterol Clin Biol
Año:
2003
Tipo del documento:
Article
País de afiliación:
Bélgica
Pais de publicación:
Francia