Thoracic esophageal perforation by the use of Magill forceps in infant, success with non-operative treatment: case report

Background Esophageal perforation is a rare surgical pathology in children. Thoracic esophageal perforation is more severe than cervical esophageal perforation. Iatrogenic cause, mainly by endoscopy, is the most common in esophageal perforation. However, perforation induced by “Magill forceps” is ex...

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Bibliographic Details
Published in:Annals of pediatric surgery 2021-10, Vol.17 (1), p.53-6, Article 53
Main Authors: Bori Bata, Abdel-Kémal, Gbénou, Antoine Séraphin, Akodjènou, Joseph, Kpossou, Aboudou Raïmi, Noukpozoukou, Bruno, Fiogbe, Armand Michel
Format: Article
Language:English
Subjects:
Antibiotics
Babies
Case Reports
Chest tubes
Endoscopy
Esophagus
Fistula
Foreign bodies
Iatrogenesis
Magill forceps
Medicine
Medicine & Public Health
Mortality
Non-operative treatment
Ostomy
Patients
Pediatrics
Perforation
Pleural effusion
Pneumothorax
Sepsis
Success
Thoracic esophageal
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Summary:Background Esophageal perforation is a rare surgical pathology in children. Thoracic esophageal perforation is more severe than cervical esophageal perforation. Iatrogenic cause, mainly by endoscopy, is the most common in esophageal perforation. However, perforation induced by “Magill forceps” is exceptional. Case presentation A systematic physical examination revealed pyrexia severe respiratory distress and right-sided pleural effusion. We report the success of non-operative treatment applied to thoracic esophageal perforation due to Magill forceps in a 24-month-old male infant. The immediate and short-term outcomes were excellent. Conclusions Non-operative treatment is possible in iatrogenic perforation of thoracic esophageal in infants. This treatment delivers excellent outcome in carefully selected patients.
ISSN:2090-5394
1687-4137
2090-5394
DOI:10.1186/s43159-021-00116-5