Unconventional surgery for thoracic esophageal rupture with empyema and mediastinitis: a case report and literature review

• Published in: Journal of cardiothoracic surgery Vol. 18; no. 1; p. 190
• Main Authors: Deng, Yong-Jun, Liu, Huan-Peng, Zou, Jian-Bin
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 13.06.2023; BioMed Central; BMC
• Subjects: Abdomen; Air compressors; Care and treatment; Case Report; Case reports; Diaphragm (Anatomy); Disease; Empyema; Endoscopy; Esophageal Perforation - surgery; Esophageal rupture; Esophagectomy; Esophagogastrostomy; Esophagoplasty; Esophagus; High pressure gas; Hospitals; Humans; Infections; Iodine; Literature reviews; Mediastinitis; Mediastinitis - surgery; Mortality; Ostomy; Patients; Pleural effusion; Rupture; Stomach; Surgical anastomosis; Surgical treatment; Thoracic surgery; Thorax; High pressure gas; Esophageal rupture; Esophagogastrostomy; Surgical treatment
• ISSN: 1749-8090; 1749-8090
• DOI: 10.1186/s13019-023-02208-2

Treatment of esophageal perforation or rupture is complicated and controversial, especially in advanced cases. In fact, it is generally accepted that this disease must be treated individually according to the location, causes and clinical features of rupture or perforation. A very rare case was admitted to our department, who was injured 5 days ago by high-pressure gas of a running air compressor and resulted in a long-term longitudinal rupture of the thoracic esophagus. Although the patient suffered from empyema and mediastinitis at the same time, and his condition was very serious, the debridement and desquamation of empyema were still implemented, followed by left thoracic esophagectomy and left neck approach esophagogastrostomy in the same period successfully. The patient got a good result finally.