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Spontaneous oesophageal rupture: a diagnostic challenge in resource-limited setting.

Shao ER, Joseph PM, Slootweg P, Mkwizu EW, Kilonzo KG, Mwasamwaja AO - Oxf Med Case Reports (2015)

Bottom Line: In resource-limited settings, it is very challenging to diagnose this condition especially when its presentation is atypical.Its prognosis is very poor when diagnosis is delayed due to risk of mediastinitis.Water-seal drainage was established gushing 1200 ml of food materials.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Internal Medicine , Kilimanjaro Christian Medical Center , Moshi , Tanzania ; Kilimanjaro Christian Medical University College , Moshi , Tanzania ; Image Doctors International , Arusha , Tanzania ; Better Human Health Foundation , Moshi , Tanzania.

ABSTRACT
Spontaneous oesophageal rupture after swallowing a bolus of food is a very rare condition. In resource-limited settings, it is very challenging to diagnose this condition especially when its presentation is atypical. Its prognosis is very poor when diagnosis is delayed due to risk of mediastinitis. We report a case of 37-year-old man who was admitted to our hospital complaining of sudden onset of chest tightness and pain after a meal 8 h prior to admission. Urgent chest radiograph revealed right hydropneumothorax with collapsed lung. Water-seal drainage was established gushing 1200 ml of food materials. Definitive diagnosis of oesophageal rupture was reached after post-mortem.

No MeSH data available.


Related in: MedlinePlus

Longitudinal rupture of ∼5 cm just above the junction of the arc of aorta (arrow).
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OMV048F3: Longitudinal rupture of ∼5 cm just above the junction of the arc of aorta (arrow).

Mentions: The following 16-h urgent abdominal radiography was done suspecting iatrogenic perforation of oesophagus or stomach due to air and food material in the water-seal drainage. Surgeons were consulted; before Graffin study could be done patient's condition changed and he died. Post-mortem revealed yellow food material in the right pleural space (Fig. 2). On dissecting the oesophagus, a longitudinal rupture of ∼5 cm just above the junction of the aortic arch was revealed (Fig. 3). The cause of death was concluded to be a spontaneous mid-oesophageal rupture due to swallowing a food bolus.Figure 2:


Spontaneous oesophageal rupture: a diagnostic challenge in resource-limited setting.

Shao ER, Joseph PM, Slootweg P, Mkwizu EW, Kilonzo KG, Mwasamwaja AO - Oxf Med Case Reports (2015)

Longitudinal rupture of ∼5 cm just above the junction of the arc of aorta (arrow).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4584513&req=5

OMV048F3: Longitudinal rupture of ∼5 cm just above the junction of the arc of aorta (arrow).
Mentions: The following 16-h urgent abdominal radiography was done suspecting iatrogenic perforation of oesophagus or stomach due to air and food material in the water-seal drainage. Surgeons were consulted; before Graffin study could be done patient's condition changed and he died. Post-mortem revealed yellow food material in the right pleural space (Fig. 2). On dissecting the oesophagus, a longitudinal rupture of ∼5 cm just above the junction of the aortic arch was revealed (Fig. 3). The cause of death was concluded to be a spontaneous mid-oesophageal rupture due to swallowing a food bolus.Figure 2:

Bottom Line: In resource-limited settings, it is very challenging to diagnose this condition especially when its presentation is atypical.Its prognosis is very poor when diagnosis is delayed due to risk of mediastinitis.Water-seal drainage was established gushing 1200 ml of food materials.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Internal Medicine , Kilimanjaro Christian Medical Center , Moshi , Tanzania ; Kilimanjaro Christian Medical University College , Moshi , Tanzania ; Image Doctors International , Arusha , Tanzania ; Better Human Health Foundation , Moshi , Tanzania.

ABSTRACT
Spontaneous oesophageal rupture after swallowing a bolus of food is a very rare condition. In resource-limited settings, it is very challenging to diagnose this condition especially when its presentation is atypical. Its prognosis is very poor when diagnosis is delayed due to risk of mediastinitis. We report a case of 37-year-old man who was admitted to our hospital complaining of sudden onset of chest tightness and pain after a meal 8 h prior to admission. Urgent chest radiograph revealed right hydropneumothorax with collapsed lung. Water-seal drainage was established gushing 1200 ml of food materials. Definitive diagnosis of oesophageal rupture was reached after post-mortem.

No MeSH data available.


Related in: MedlinePlus