A Case of Esophageal Perforation Presenting as Cavitary Pneumonia: Diagnostic and Therapeutic Challenges  

作　　者：Feruza Abraamyan Harpreet Singh Vishal Raj Inder M. Singh Feruza Abraamyan;Harpreet Singh;Vishal Raj;Inder M. Singh(Internal Medicine Department, Sutter Roseville Medical Center, Roseville, CA, USA;Pulmonary Medicine Associates, Sutter Roseville Medical Center, Roseville, CA, USA;Gastroenterology Department, Sutter Roseville Medical Center, Roseville, CA, USA)

机构地区：[1]Internal Medicine Department, Sutter Roseville Medical Center, Roseville, CA, USA [2]Pulmonary Medicine Associates, Sutter Roseville Medical Center, Roseville, CA, USA [3]Gastroenterology Department, Sutter Roseville Medical Center, Roseville, CA, USA

出　　处：《Open Journal of Gastroenterology》2024年第7期241-247,共7页肠胃病学期刊（英文）

摘　　要：Esophageal perforation, a rare condition, can arise from iatrogenic, traumatic, or spontaneous origins. Even when therapy is initiated within the first 24 hours, it is associated with a mortality rate of up to 25%. Due to the varied initial presentation, treatment may be delayed, leading to poorer outcomes. Here, we present a unique case of a 27-year-old schizophrenic patient who initially presented with acute respiratory failure and septic shock and was ultimately diagnosed with cavitary pneumonia secondary to esophageal perforation.Esophageal perforation, a rare condition, can arise from iatrogenic, traumatic, or spontaneous origins. Even when therapy is initiated within the first 24 hours, it is associated with a mortality rate of up to 25%. Due to the varied initial presentation, treatment may be delayed, leading to poorer outcomes. Here, we present a unique case of a 27-year-old schizophrenic patient who initially presented with acute respiratory failure and septic shock and was ultimately diagnosed with cavitary pneumonia secondary to esophageal perforation.

关 键 词：Esophageal Perforation Foreign Body Esophageal Stent Cavitary Pneumonia Septic Shock Respiratory Failure 

分 类 号：R57[医药卫生—消化系统]