Oesophageal Perforation: What Was The Culprit?

Nur Asma Sapiai, Thadchaiani Saminathan, Wan Aireene Wan Ahmed, Ahmad Zuhdi Mamat


Oesophageal perforation is a rare clinical situation. However, it is associated with high morbidity and mortality rate. A 39-year-old lady with underlying epilepsy was admitted to hospital for alleged accidental ingestion of broken dentures while sleeping. She underwent emergency direct laryngoscopy, oesophagoscopy and oesophagogastroduodenoscopy. However, no foreign body was found. She was subsequently discharged home. Two days later, the patient presented again with dyspnoea, fever and chest discomfort. A chest radiograph showed bilateral pleural effusion, left pneumothorax and right mediastinal shift. A suspicion of oesophageal perforation was raised. Upper gastrointestinal study revealed an oesophageal perforation. Under conservative management, her condition was complicated with thoracic empyema. She subsequently underwent video assisted thoracoscopy and decortication. Fortunately, after one month of hospitalization, she regained full recovery. In conclusion, any chest symptoms which arise after oesophagogastroduodenoscopy should be dealt with extra caution. Patients outcome after oesophageal injury are time dependent, thus any delay in obtaining radiological assessment should be avoided.


esophageal perforation; oesophagogastroduodenoscopy; foreign body

Full Text:



Madan R, Bair RJ, Chick JFB. Complex iatrogenic esophageal injuries: an imaging spectrum. American Journal of Roentgenology. 2015;204(2):W116-W25.

Zwischenberger JB, Savage C, Bidani AJAjor, medicine cc. Surgical aspects of esophageal disease: perforation and caustic injury. 2002;165(8):1037-40.

Brinster CJ, Singhal S, Lee L, Marshall MB, Kaiser LR, Kucharczuk JC. Evolving options in the management of esophageal perforation. The Annals of thoracic surgery. 2004;77(4):1475-83.

Desai R, Srivastava R, Chitrapu C, Kaleemuddin M, Amenha CJISJ. Approach and management modalities in Esophageal Perforations. 2018;5(2):373-8.

Tullavardhana TJJMAT. Iatrogenic esophageal perforation. 2015;98(Suppl 9):S177-83.

Søreide JA, Viste A. Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours. Scand J Trauma Resusc Emerg Med. 2011;19:66-.

Copyright (c) 2020 Journal of Biomedical and Clinical Sciences (JBCS)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Journal of Biomedical and Clinical Sciences (JBCS) publishes original research articles, short review, short communication, case reports, quiz and letter to editor that covering the areas of fundamental aspects of biomedical and clinical sciences, from pre-clinical towards translational research and their applications in medicine, dentistry and healthcare management. JBCS aims to provide a platform for basic science and clinical researchers to communicate and share their research findings to the advancement of technologies in biomedical and clinical sciences by providing maximum access to scholarly communication.

Flag Counter           


                                              Copyright © 2016 AMDI Publisher, Universiti Sains Malaysia.
Disclaimer : This website has been updated to the best of our knowledge to be accurate. However, Universiti Sains Malaysia shall not be liable for any loss or damage caused by the usage of any information obtained from this web site.
                                            Best viewed: Mozilla Firefox 4.0 & Google Chrome at 1024 × 768 resolution.