ESOPHAGEAL PERFORATION BY FOREIGN BODY INGESTION: REVISIÓN LITERARIA MÁS REPORTE DE UN CASO

Abstract

Esophageal perforation comprises a clinical challenge for physicians: it is because many clinical variants which may occur. Importantly, it is a true emergency, the dire consequences of a late diagnosis, so the doctor must have a clear view of your presentation and suspect their existence sometimes, where despite an ambiguous clinical, history of certain events bring us to this diagnosis. Case report: Female patient, 58 years old, who started presenting illness in March 2013 to have chest pain of high intensity concomitantly hematemesis in 3 subsequent opportunities intake foreign body (fishbone) is taken to surgery where it takes one wide right thoracotomy, left explorer cervicotomy + extrinsic esophageal exclusion feeding jejunostomy. Conclusion: We believe that the best management of esophageal injuries is to make rapid diagnosis and, if possible, perform primary repair. For this it is necessary to have a high index of suspicion in lesions neck and chest, then because it is surrounded by the airway and major vascular structures, often is overlooked, which increases the risk of complications and therefore, the morbidity and mortality.