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Spontaneous Perforation of the Esophagus in a Patient With Achalasia

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Presentation on theme: "Spontaneous Perforation of the Esophagus in a Patient With Achalasia"— Presentation transcript:

1 Spontaneous Perforation of the Esophagus in a Patient With Achalasia
Andrew R. Moriarity, MD, John O. Larkin, MD, PhD, Katie E. O’Sullivan, MD, Narayanasamy Ravi, MD, John V. Reynolds, MD  The Annals of Thoracic Surgery  Volume 96, Issue 4, Pages (October 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Chest roentgenogram with the patient erect, demonstrating a large right-sided pleural effusion with air visible in the mediastinum. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Gastrografin swallow demonstrating extravasation of contrast medium from the esophagus into the mediastinum and accumulating in the right hemithorax. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Intraoperative image of the esophagus after thoracic and abdominal mobilization and division of the cervical esophagus, before tubularization of the stomach and fashioning of a cervical esophagogastric anastomosis. A longitudinal 6-cm tear in the midesophagus is seen, with discoloration of the esophageal serosa from gross mediastinal contamination. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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