Publication Date
1-1-2022
Journal
ACG Case Reports Journal
DOI
10.14309/crj.0000000000000711
PMID
35036454
PMCID
PMC8757968
PubMedCentral® Posted Date
1-12-2022
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Abstract
Esophageal perforation is rare and carries high morbidity and mortality. A high degree of suspicion is needed for timely diagnosis and treatment. A 54-year-old man presented with fever and confusion. Imaging revealed air in the hepatic inferior vena cava and concern for a fistula between the distal esophagus and the inferior vena cava. An upper endoscopic evaluation revealed a dental floss pick penetrating the distal esophagus. The foreign body was removed, and endoluminal vacuum therapy was used to close the perforation. Endoluminal vacuum therapy is an emerging therapy to treat full-thickness gastrointestinal injuries.
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