Complicated Impacted Foreign Body in the Esophagus / A Case Report

Abstract

Perforation of the Esophagus Causes :- 1-Iatrogenic Esophageal perforation following instrumentation either by the rigid esophagoscope or by bougienage. Is the most common cause of perforation. 2-Traumatic perforation due to  foreign bodies ingestion or blunt and penetrating trauma 3-Spontaneous rupture ( Boerhaave‘ s syndrome ) due to the strain of emesis with or without predisposing disease .

• The sites of the normal anatomical constriction, are the most common sites of perforation .
• The consequence of the perforation is the contamination of the peri- esophageal space with the digestive fluids, food and bacteria which can lead to extensive suppuration and sepsis.
• Even perforation of the cervical esophagus can extend into the mediastinum along the facial planes and results in chemical and infectious mediastinitis, which is lethal unless treated early.