Management of Esophageal Perforation in an Elderly Woman

Abstract

Esophageal perforation is a feared complication of therapeutic esophageal procedures. It is known to occur in 50% of cases following therapeutic esophageal procedure. Esophageal perforation is associated with increased morbidity and mortality owing to difficulties in accessing the esophagus, the weak serosal layer, the peculiar blood supply of the organ, and its proximity to vital structures. We report the management of iatrogenic esophageal perforation following stricture dilatation in an elderly woman with a history of esophageal carcinoma. The patient was managed with stenting of the esophagus and parenteral nutrition. Thus, immediate identification and prompt management of iatrogenic esophageal perforation may reduce further complications.