International Scholarly Research Notices

Clinical Study

Aggressive Surgical Treatment in Late-Diagnosed Esophageal Perforation: A Report of 11 Cases

Table 1

Demographic data, primary diagnosis, delay in diagnosis, route of diagnosis, and site of perforation, sepsis, and etiology in 11 cases of esophageal perforation.


Case no.	Sex	Age (years)	Primary Dx	Delay in Dx (hour)	Route of definite Dx	Site of perforation	Sepsis	Etiology

1	Male	60	Acute myocardial infarction	72	Contrast study	Middle third	Yes	Chicken bone
2	Male	48	Complicated empyema	8 days	Contrast study	Middle third	Yes	Spontaneous
3	Female	71	Pain after dilatation	48	Contrast study	Lower third	Yes	Instrumentation SCC**
4	Female	73		48	Contrast study	Middle third	Yes	Instrumentation (peptic stricture)
5	Female	66	T.E.F^±	72	Contrast study	Middle third	Yes	Instrumentation SCC^†
6	Male	10	—	24	Contrast	Cervical	No	Fish bone
7	Female	60	Pancreatitis	4 days	Contrast	Lower third	Yes	Instrumentation adenocarcinoma
8	Male	88	Empyema	6 day	Oral Methylene Bleu	Middle third	Yes	Instrumentation SCC^†
9	Male	80	Empyema	10 days	Methylene Bleu	Middle third	No	Spontaneous
10	Male	52	—	12	Contrast	Lower third	Yes	Spontaneous
11	Male	28	—	12	Direct exploration	Cervical	Yes	Penetrating trauma

SCC: squamous cell carcinoma, Dx: diagnosis, TEF: transesophageal fistula.