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A Case of Esophageal Perforation Presenting as Cavitary Pneumonia: Diagnostic and Therapeutic Challenges
Internal Medicine Department, Sutter Roseville Medical Center, Roseville, CA, USA
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
- 1 Internal Medicine Department, Sutter Roseville Medical Center, Roseville, CA, USA
- 2 Internal Medicine Department, Sutter Roseville Medical Center, Roseville, CA, USA
- 3 Pulmonary Medicine Associates, Sutter Roseville Medical Center, Roseville, CA, USA
- 4 Gastroenterology Department, Sutter Roseville Medical Center, Roseville, CA, USA
Open Journal of Gastroenterology·Volume 14 (2024)·Pages 241–247·Published 26 July 2024·DOI10.4236/ojgas.2024.147027
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Abstract
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.
KeywordsEsophageal PerforationForeign BodyEsophageal StentCavitary PneumoniaSeptic ShockRespiratory Failure
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