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Pleural flap for delayed presentation of intrathoracic esophageal perforation

Mahmoud A Machmouchi1, Khaled A Bakhsh, Mohammed A Al-Harbi

  • 1Department of Surgery (MBC J40), King Faisal Specialist Hospital and Research Centre, Jeddah 21499, Kingdom of Saudi Arabia. hmmachmoudi@hotmail.com

Saudi Medical Journal
|September 28, 2004
PubMed

Insights

Esophageal perforation in children due to foreign bodies can be successfully treated with a large pleural flap, even after delayed diagnosis. Early feeding post-surgery is crucial for recovery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Foreign body ingestion is a common cause of esophageal perforation in children.
  • Delayed diagnosis in esophageal perforation can lead to severe complications.

Observation:

  • Two pediatric cases of large intrathoracic esophageal perforation secondary to foreign bodies are presented.
  • Diagnosis was delayed by over 36 hours in both patients.
  • Both patients were successfully treated using a large pleural flap.

Findings:

  • Successful surgical repair of large intrathoracic esophageal perforation was achieved with a pleural flap.
  • Solid oral feeding was initiated two weeks post-operatively.
  • Gastrostomy was not required for either patient.

Implications:

  • A large pleural flap is an effective treatment for large esophageal perforations in children.
  • Early initiation of feeding and prevention of vomiting are recommended post-operatively.
  • This approach may avoid the need for gastrostomy in select cases of pediatric esophageal perforation.

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