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Thoracic osteophyte: rare cause of esophageal perforation.

Rathinam, Sridhar and Makarawo, Tafadzwa P and Norton, R and Collins, F J (2010) Thoracic osteophyte: rare cause of esophageal perforation. Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus / I.S.D.E, 23 (1). E5-8. ISSN 1442-2050. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://onlinelibrary.wiley.com/doi/10.1111/j.1442-...

Abstract

Esophageal perforation is a difficult problem in thoracic surgery. Esophageal perforations can be spontaneous, iatrogenic, or malignant. We report two cases of esophageal perforations caused by thoracic osteophytes and different management strategies leading to successful outcomes. An 80-year-old male presented with chest pain and dysphagia following a fall. On endoscopy, an esophageal perforation and foreign body was noted which was confirmed as a thoracic osteophyte on computed tomography scan. He was managed conservatively as he declined surgery. A 63-year-old male was admitted with dysphagia following a food bolus obstruction. Following esophagoscopy and dilatation, there was clinical and radiological evidence of perforation. During surgery, a thoracic osteophyte was identified as the cause of perforation. The perforation was closed in layers and the osteophyte was trimmed. Both patients recovered well. Thoracic osteophytes are a rare cause of esophageal perforations and a high index of suspicion is required in patients with osteoarthritis who present with esophageal perforations.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WG Cardiovascular system. Cardiology
Divisions: Planned IP Care > Thoracic Surgery
Related URLs:
Depositing User: Preeti Puligari
Date Deposited: 28 Aug 2014 14:19
Last Modified: 28 Aug 2014 14:19
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/569

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