esophageal perforation


	esophageal perforation

jthomasparuch

7-18-2008 3:47 PM

32 views

tags:

esophageal perforation, iatrogenic, mediastinitis

jthomasparuch says:

-esophageal perforation due to iatrogenic cause is very frequent
-radiography with water-soluble contrast is the best way to diagnose this condition

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<div style="margin: 12px 0px; font-family: arial; color: #333333; background: #ffffff; border: solid 4px #e5e5e5; width: 100%; clear: left;"><div class="CM_CTB_Content_Wrap" style="margin: 0px; padding: 0px;background-color: #ffffff;"><div style="border-bottom: solid 1px #dcdcdc; white-space: nowrap; margin-bottom: 8px; background-color: #eeeeee ;background-image: url(http://clipmarks.com/images/source-bg.gif); background-repeat: repeat-x; height: 24px; line-height: 24px; vertical-align: middle; padding-bottom: 4px; color: #666666; font-size: 10px;" ><a href="http://clipmarks.com/clip-to-blog/" title="see clips that are hot right now"><img src="http://content.clipmarks.com/blog_embed/19240841-1669-4d97-9ac7-db8c92a4f1a1/7BEB9DDF-C50E-4666-A4EB-94849177C3CB/" alt="" width="19" height="19" border="0" style="vertical-align: middle; margin: 0px 4px; display: inline; border: none; float:none;" /></a>clipped from <a title="file:///C:/Users/Medicine%20Man/Desktop/Backup%20files%20from%20old%20laptop/Backup%20Files/USMLE%20WORLD%202007/int.medcine/biostatics,ent,opth,preventive,toxins.psychatery/surgery/Test73_Sur/Question%201%20of%2046_files/qstLoad.htm" href="file:///C:/Users/Medicine%20Man/Desktop/Backup%20files%20from%20old%20laptop/Backup%20Files/USMLE%20WORLD%202007/int.medcine/biostatics,ent,opth,preventive,toxins.psychatery/surgery/Test73_Sur/Question%201%20of%2046_files/qstLoad.htm" style="font-size: 11px;"></a></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="file:///C:/Users/Medicine%20Man/Desktop/Backup%20files%20from%20old%20laptop/Backup%20Files/USMLE%20WORLD%202007/int.medcine/biostatics,ent,opth,preventive,toxins.psychatery/surgery/Test73_Sur/Question%201%20of%2046_files/qstLoad.htm"><DIV>Most likely, this patient has iatrogenic esophageal perforation. Contrast study would best demonstrate it. If perforation is present, primary closure of esophagus, and drainage of mediastinum must be attempted within 6 hours to prevent the development of mediastinitis. </DIV></blockquote></div><div style="margin: 0px 6px 6px 4px;"><table style="font-size: 11px;border-spacing: 0px;padding: 0px;" cellpadding="0" cellspacing="0" width="100%"><tr><td style="background:transparent;border-width:0px;padding:0px;">&nbsp;</td><td align="right" style="background:transparent;border-width:0px;padding:0px;width:107px" width="107"><a href="http://clipmarks.com/share/7BEB9DDF-C50E-4666-A4EB-94849177C3CB/blog/" title="blog or email this clip"><img src="http://content6.clipmarks.com/images/c2b-foot.png" border="0" alt="blog it" width="107" height="17" style="border-width:0px;padding:0px;margin:0px;" /></a></td></tr></table></div></div>

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