Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Dec;73(4):514-518.
doi: 10.1007/s12070-020-01993-9. Epub 2020 Jul 25.

Spontaneous Esophageal Perforation in an Infant: A Rare Case

Affiliations

Spontaneous Esophageal Perforation in an Infant: A Rare Case

Punit Singh Parihar et al. Indian J Otolaryngol Head Neck Surg. 2021 Dec.

Abstract

Spontaneous perforation of the esophagus is an emergency that requires early diagnosis and management. It may be fatal and delay in treatment can cause an increase in morbidity and mortality. Despite of being very rare in infants, we have to be watchful whenever we encounter signs and symptoms related to it. Only 7 cases of spontaneous esophageal perforation in infants have been report in the literature to the best of our knowledge. Here we are reporting a rare case of spontaneous esophageal rupture in an infant.

Keywords: Boerhaave’s syndrome; Esophageal perforation; Esophagogram; Spontaneous perforation.

PubMed Disclaimer

Conflict of interest statement

Conflict of interestThere has been no financial support and no conflict of interest in this study.

Figures

Fig. 1
Fig. 1
Preoperative CT scan with oral contrast
Fig. 2
Fig. 2
Preoperative esophagogram
Fig. 3
Fig. 3
Diagrammatic representation of the perforation site
Fig. 4
Fig. 4
Esophageal perforation
Fig. 5
Fig. 5
Submucosal repair
Fig. 6
Fig. 6
Repair of muscular layer
Fig. 7
Fig. 7
Sternocleidomastoid muscle flap
Fig. 8
Fig. 8
Flap repair
Fig. 9
Fig. 9
Postoperative esophagogram

References

    1. Derbes VJ, Mitchell RE., Jr Herman Boerhaave Atrocis, nec descripti prius, morbi historia: the first translation of the classic case report of rupture of the esophagus, with annotations. Bull Med Libr Assoc. 1955;43:217–240. - PMC - PubMed
    1. Grunebaum M, Horodniceanu C, Wilunsky E, Reisner S. Iatrogenic transmural perforation of the esophagus in the preterm infant. Clin Radiol. 1980;31:257–261. doi: 10.1016/S0009-9260(80)80211-X. - DOI - PubMed
    1. Hamawandi AM, Baram A, Ramadhan AA, Karboli TA, Taha AY, Anwar A (2014) Esophageal perforation in children: experience in Kurdistan Center for Gastroenterology and Hepatology/Iraq. Open J Gastroenterol 4:221–227
    1. Morzaria S, Walton JM, MacMillan A. Inflicted esophageal perforation. J Pediatr Surg. 1998;33(6):871–873. doi: 10.1016/S0022-3468(98)90663-7. - DOI - PubMed
    1. Govindarajan KK. Esophageal perforation in children: etiology and management, with special reference to endoscopic esophageal perforation. Korean J Pediatr. 2018;61(6):175. doi: 10.3345/kjp.2018.61.6.175. - DOI - PMC - PubMed

LinkOut - more resources