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Delayed esophageal perforation after pneumatic dilatation for the treatment of achalasia

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Abstract

Two cases of delayed esophageal perforation following a pneumatic dilatation for the treatment of achalasia are presented. Esophagrams obtained immediately after pneumatic dilatation failed to reveal a perforation. Increasing symptoms prompted repeat contrast studies, at which time an esophageal perforation was demonstrated. The occurrence of delayed esophageal perforation after pneumatic instrumentation is emphasized. An ischemic etiology for this delayed perforation is postulated.

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Authors and Affiliations

  1. Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, 19104, Philadelphia, PA, USA

    Harry G. Zegel & Herbert Y. Kressel M.D.

  2. Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    Gary M. Levine

  3. Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    Ernest F. Rosato

Authors
  1. Harry G. Zegel
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  2. Herbert Y. Kressel M.D.
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  3. Gary M. Levine
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  4. Ernest F. Rosato
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Zegel, H.G., Kressel, H.Y., Levine, G.M. et al. Delayed esophageal perforation after pneumatic dilatation for the treatment of achalasia. Gastrointest Radiol 4, 219–221 (1979). https://doi.org/10.1007/BF01887529

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  • DOI: https://doi.org/10.1007/BF01887529

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