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 .

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  The sites of the normal anatomical constriction, are the most common sites of perforation .
  


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  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.
  


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  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.