| Conservative management of a case of cervical esophagus perforation with mediastinal abscess and bilateral pleural effusion. | |
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MedLine Citation:
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PMID: 11893458 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Perforation of the cervical esophagus is a serious circumstance. Mediastinitis secondary to esophageal perforations is associated with high mortality. There is a lack of consensus on the optimal treatment for this condition. We present a case of conservative treatment in an 82-year-old woman with cervical esophagus rupture associated with mediastinal abscess and bilateral pleural effusion resulting from dilatation of a malignant esophageal stricture. Conservative treatment consisted on broad-spectrum intravenous antibiotic therapy, antireflux measures and gastrostomy was satisfactory. Treatment of the esophageal perforation should be individualized to the circumstances of each patient. Advances in antibiotic and nutritional therapy, early institution of treatment and observance of the indications, made possible a more frequent use of a conservative therapeutic approach. |
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Authors:
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Adolfo G Hinojar; María Antonia Rodríguez Castejón; Adolfo A Hinojar |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Auris, nasus, larynx Volume: 29 ISSN: 0385-8146 ISO Abbreviation: Auris Nasus Larynx Publication Date: 2002 Apr |
Date Detail:
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Created Date: 2002-03-14 Completed Date: 2002-10-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7708170 Medline TA: Auris Nasus Larynx Country: Netherlands |
Other Details:
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Languages: eng Pagination: 199-201 Citation Subset: IM |
Affiliation:
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Department of Otorhinolaryngology, Hospital de la Princesa, Diego de León 62, 28006, Madrid, Spain. ahinojar@hlpr.insalud.ed |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abscess
/
drug therapy,
etiology,
therapy* Aged Aged, 80 and over Anti-Bacterial Agents / therapeutic use* Esophageal Neoplasms / complications* Esophageal Perforation / etiology, therapy* Female Gastrostomy Humans Mediastinal Diseases / drug therapy, etiology, therapy* Pleural Effusion, Malignant / drug therapy, etiology, therapy* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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