-Case Reports-

Computed Tomography-guided Mediastinal Drainage for Iatrogenic Perforation of the Esophagus

Masao Miyashita¹, Tsutomu Nomura¹, Hiroshi Makino¹, Nobutoshi Hagiwara¹, Ken Takahashi¹, Yoshinori Sakata¹, Kazuhiro Nagata², Katsuhiko Iwakiri², Hiroyuki Tajima³ and Takashi Tajiri¹

¹Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
²Department of Gastroenterology, Nippon Medical School
³Department of Radiology, Nippon Medical School

We report a case of perforation of the esophagus associated with mediastinitis and pneumomediastinum during endoscopic treatment. The patient was successfully treated by means of nonsurgical computed tomography-guided mediastinal drainage. Esophagoscopy demonstrated a scar on the 14^th day at the perforation site. This nonsurgical treatment with computed tomography-guided mediastinal drainage is proposed as a less invasive treatment for iatrogenic perforation of the esophagus.

J Nippon Med Sch 2006; 73: 337-340

Keywords
esophageal perforation, endoscopy, nonsurgical treatment

Correspondence to
Masao Miyashita, MD, Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan
miyashit@nms.ac.jp

Received, August 14, 2006
Accepted, October 10, 2006