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Iatrogenic pharyngoesophageal perforation and diverticulum formation conservatively managed in an adult patient


Mohammed Amine Benatta

Abstract

Iatrogenic pharyngoesophageal perforations represent serious problems that are difficult to diagnose and manage. We report a case of pharyngoesophageal diverticulum formation due to perforation after external transcervical polypectomy. The patient was referred to our endoscopy unit by otorhinolaryngologist 9 days after a surgical cervical polyp resection. He was in stable general condition, without sepsis. A nonoperative management was attempted with percutaneous endoscopic gastrostomy placement and broad-spectrum antibiotics. Nine weeks later esophagography demonstrated a complete regression of both the perforation and the diverticulum.

Pan African Medical Journal 2016; 23

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eISSN: 1937-8688