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- W1995051060 abstract "Forced dilatation of the esophagus is an established method of treatment in achalasia [1 ]. About 2%-3% of such dilatations result in perforation of the esophagus [1 ]. A retrospective analysis of 23,784 esophageal dilatations led Mandelstam et al. [2] to conclude that “pneumatic dilatation of the esophagus carries a small but definite risk of rupture, which necessitates emergency thoracotomy.” We report two cases of perforation after pneumatic dilatation for achalasia that were limited to the intraabdominal esophagus and resulted in lesser sac pneumoperitoneum. Radiographic recognition of this lesser sac air localized the perforation to the posterior intraabdominal esophagus. This finding should obviate emergency thoracotomy and allow for primary closure via laparotomy and/or supportive management." @default.
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- W1995051060 date "1984-02-01" @default.
- W1995051060 modified "2023-09-26" @default.
- W1995051060 title "Lesser sac pneumoperitoneum secondary to perforation of the intraabdominal esophagus" @default.
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- W1995051060 doi "https://doi.org/10.2214/ajr.142.2.325" @default.
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