| Autor: |
Al-Saffar H; AT-läkare, Karolinska universitetssjukhuset, Stockholm., Hayami M; specialistläkare, PO övre buk, Karolinska universitetssjukhuset, Stockholm., Sundén M; överläkare, kirurgkliniken, Sunderby sjukhus, Luleå., Stokkeland C; vik överläkare, IVAK- enheten, VO akut omhändertagande, division närsjukvård, Kalix sjukhus., Nilsson M; professor, överläkare, PO övre buk, Karolins-ka universitetssjukhuset, Stockholm. |
| Abstrakt: |
Perforated acute necrotizing esophagitis is a condition with several proposed etiological factors, hypothesized to be caused by weakened mucosal defence mechanisms and hemodynamic insult, leading to subsequent ischemia. We present a patient with acute necrotizing esophagitis, where underlying cardiovascular comorbidity and patient delay serve as potential contributing causal factors to the perforation. To prevent subsequent circulo-respiratory collapse and multi-organ failure, emergency esophagectomy was required, given that control of persistent leakage and mediastinitis was unlikely if managed conservatively. |
