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KMID : 0364020170500050395
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Korean Journal of Thoracic and Cardiovascular Surgery
2017 Volume.50 No. 5 p.395 ~ p.398
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Internal Drainage of an Esophageal Perforation in a Patient with a High Surgical Risk
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Kim Hong-Sun
Kim Young-Hwan
Cho Jong-Ho
Min Yang-Won
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Abstract
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A 71-year-old man presented with a productive cough and fever, and he was diagnosed as having an esophageal perforation and a mediastinal abscess. He had a history of traumatic hemothorax and pleural drainage for empyema in the right chest and was considered unable to tolerate thoracic surgery because of sepsis and progressive aspiration pneumonia. In order to aggressively drain the mediastinal contamination, we performedinternal drainage by placing a Levin tube into the mediastinum through the perforation site. This procedure, in conjunction with controlling sepsis and providing sufficient postpyloric nutrition, allowed the esophageal injury to completely heal.
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KEYWORD
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Esophageal perforation, Mediastinitis
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