T-tube management of late esophageal perforation

Irfan Qadir, Aga Khan University
Hasnain Zafar, Aga Khan University
Mubashir Zareen Khan, Aga Khan University
Hasanat Sharif, Aga Khan University

Abstract

Esophageal perforation is a serious condition with a high mortality rate. Management strategy of such a patient depends on the extent of perforation and the time interval between perforation and diagnosis. The use of a T tube to treat delayed esophageal perforation with complete resolutionand no need for future definitive surgery has been less frequently described. We adapted this principle in successful management of a 73 year old patient with four days history of fever, shortness of breath, chest pain and radiologicalevidence of perforation