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CASE REPORT   

Chirurgia 2022 June;35(3):194-6

DOI: 10.23736/S0394-9508.21.05324-9

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Benign esophageal strictures after stent-in-stent placement for spontaneous esophageal perforation

Georgi S. YANKOV 1, Viktoria A. ILIEVA 2, Borislav G. VLADIMIROV 3, Evgeni V. MEKOV 4 , Rosen E. PETKOV 1

1 Department of Respiratory Diseases, MHATPD “Sveta Sofia,” Medical University of Sofia, Sofia, Bulgaria; 2 Department of Anesthesiology and Intensive Care, MHATPD “Sveta Sofia,” Medical University of Sofia, Sofia, Bulgaria; 3 Department of Gastroenterology, Queen Yoanna University Hospital, Medical University of Sofia, Sofia, Bulgaria; 4 Department of Occupational Diseases, Sveti Ivan Rilski University Hospital, Medical University of Sofia, Sofia, Bulgaria



Spontaneous esophageal perforation is a life-threatening condition requiring early diagnosis and aggressive surgical behavior. It is usually located on the left posterolateral wall in the distal third of the esophagus. Delayed diagnosis and inadequate treatment lead to mediastinitis, pleural effusion, empyema, and subsequent fatal outcome. Mortality and morbidity in this condition are extremely high. Esophageal stenting is used in clinical practice for a wide range of esophageal diseases and conditions. We presented the case of a 48-year-old man admitted to our Department of Thoracic Surgery who was treated with a stent-in-stent technique for spontaneous perforation of the esophagus and developed three esophageal strictures.


KEY WORDS: Complications; Esophageal stenosis; Stents; Esophageal perforation

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