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Vol. 100. Issue 8.
Pages 513 (August 2022)
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Esophageal perforation and tracheal rupture after endoprosthesis placement and neoadjuvant treatment for esophageal cancer
Perforación esofágica y rotura traqueal tras colocación de endoprótesis y tratamiento neoadyuvante por cáncer de esófago
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Belén Conde Inarejos
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bciconde@gmail.com

Corresponding author.
, Servando Usero Rebollo, Juan Luis Rueda Martínez, Antonio Serafín Valero Liñán
Servicio Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
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A 57-year-old male with a history of type 2 diabetes mellitus, moderate alcoholism, and smoker of 20 cigarettes/day. He was diagnosed with mid-third oesophageal squamous cell carcinoma, stage 3A, stenosing, with right paratracheal adenopathy and suspected tracheal infiltration was ruled out after fibrobronchoscopy. Neoadjuvant treatment was decided: radiotherapy concomitant with weekly carboplatin/paclitaxel (CROSS scheme) for 5 weeks and stent placement.

He attended the emergency department for vomiting over 24 h. Examination: cachexia. Blood pressure 98/56 mmHg, respiratory rate 30 rpm, O2 saturation 75%; after NC 4lpm 92%. PA: bibasal crackles, scattered rhonchi. Angio-CT scan: interruption of the right lateral oesophageal wall with extrapulmonary cavity, hydro-aerial level inside and rupture of the posterior tracheal wall. Surgery was ruled out and palliative treatment with endoscopic percutaneous gastrostomy was decided (Fig. 1).

Fig. 1
(0.18MB).

Diagnosis: oesophageal perforation and tracheal rupture in a patient with squamous cell carcinoma of the oesophagus.

Please cite this article as: Conde Inarejos B, Usero Rebollo S, Rueda Martínez JL, Valero Liñán AS. Perforación esofágica y rotura traqueal tras colocación de endoprótesis y tratamiento neoadyuvante por cáncer de esófago. Cir Esp. 2022;100:513.

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