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Conservative therapy of esophageal perforation with neck abscess in a child

Matthew C Miller1, Richard J Schmidt, Marc S Keller

  • 1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19106, USA. dr_matthew_miller@yahoo.com

The Laryngoscope
|September 11, 2007
PubMed

Insights

Conservative management for pediatric esophageal perforations is effective. A 14-year-old patient recovered quickly after ultrasound-guided drainage and antibiotics, showing this approach

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Esophageal perforations require prompt management.
  • Conservative approaches are increasingly favored for esophageal perforations.
  • Data on conservative management in pediatric esophageal perforations are limited.

Observation:

  • A 14-year-old female presented with an esophageal perforation.
  • The perforation was caused by accidental ingestion of a glass shard.
  • The patient underwent ultrasound-guided drainage catheter placement and esophagoscopy.

Findings:

  • The patient received postoperative antibiotics.
  • Discharge occurred within one week of presentation.
  • The patient experienced an uncomplicated recovery.

Implications:

  • Selected pediatric esophageal perforations can be managed conservatively.
  • Ultrasound-guided drainage and esophagoscopy offer a minimally invasive treatment option.
  • This case supports the safety and efficacy of conservative management in pediatric esophageal perforation.

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