Pleural flap for delayed presentation of intrathoracic esophageal perforation

Authors

• Mahmoud A. Machmouchi, Consultant Pediatric Surgeon, Department of Surgery (MBC J40), King Faisal Specialist Hospital and Research Centre, PO Box 40047, Jeddah 21499, Kingdom of Saudi Arabia. Tel. +966 (2) 6677777 Ext. 5816. Fax. +966 (2) 6677777 Ext. 5815. E-mail: hmmachmoudi{at}hotmail.com
• Khaled A. Bakhsh, Department of Surgery, King Faisal Specialist Hospital, Jeddah, Kingdom of Saudi Arabia.
• Mohammed A. Al-Harbi, Department of Surgery, King Faisal Specialist Hospital, Jeddah, Kingdom of Saudi Arabia.
• Zain H. Al-Shareef, Department of Surgery, King Faisal Specialist Hospital, Jeddah, Kingdom of Saudi Arabia.

Abstract

The authors report 2 cases of large intrathoracic esophageal perforation, as a complication of foreign body in 2 boys, 4 and 9-years-old. The delay in diagnosis was more than 36 hours in both cases that were treated successfully by a large pleural flap. Postoperatively, solid oral feeding was initiated after 2 weeks. Although gastrostomy was not performed on both patients, in cases of large esophageal perforation, it is recommended to establish early feeding and prevent aggressive vomiting.

Article Type

Case Report

First Page

1267

Last Page

1269

Recommended Citation

Machmouchi, Mahmoud A.; Bakhsh, Khaled A.; Al-Harbi, Mohammed A.; and Al-Shareef, Zain H. (2004) "Pleural flap for delayed presentation of intrathoracic esophageal perforation," Saudi Medical Journal: Vol. 25: Iss. 9, Article 26.
DOI: https://doi.org/10.15537/1658-3175.2556