Post-intubation rupture of thoracic trachea in a patient with iatrogenic esophageal perforation and mediastinitis

Danielyan Sh.N.

Sklifosovsky Research Institute for Emergency Medicine

Tarabrin E.A.

Sklifosovsky Research Institute for Emergency Medicine

Rabadanov K.M.

Sklifosovsky Research Institute for Emergency Medicine

Barmina T.G.

Sklifosovsky Research Institute of Emergency Medicine

Kvardakova O.V.

Sklifosovsky Research institute for Emergency Care

Khachatryan S.A.

Sklifosovsky Research institute for Emergency Care

Post-intubation rupture of thoracic trachea in a patient with iatrogenic esophageal perforation and mediastinitis

Authors:

Danielyan Sh.N., Tarabrin E.A., Rabadanov K.M., Barmina T.G., Kvardakova O.V., Khachatryan S.A.

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Journal: Pirogov Russian Journal of Surgery. 2023;(1): 89‑93

DOI: 10.17116/hirurgia202301189

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Danielyan ShN, Tarabrin EA, Rabadanov KM, Barmina TG, Kvardakova OV, Khachatryan SA. Post-intubation rupture of thoracic trachea in a patient with iatrogenic esophageal perforation and mediastinitis. Pirogov Russian Journal of Surgery. 2023;(1):89‑93. (In Russ.)
https://doi.org/10.17116/hirurgia202301189

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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Iatrogenic injuries of the esophagus and trachea are rare. However, these are life-threatening events due to severe complications. The authors report iatrogenic perforation of cervical esophagus with a long false passage in posterior mediastinum in an 83-year-old patient undergoing endoscopic retrograde cholangiopancreatography for choledocholithiasis. Post-intubation rupture of thoracic trachea was diagnosed early after suturing the defect of esophagus and drainage of mediastinum. Treatment strategy was analyzed and conservative management of tracheal injury was substantiated.

Keywords:

esophageal perforation

tracheal rupture

mediastinitis

Authors:

Danielyan Sh.N.

Sklifosovsky Research Institute for Emergency Medicine

Tarabrin E.A.

Sklifosovsky Research Institute for Emergency Medicine

Rabadanov K.M.

Sklifosovsky Research Institute for Emergency Medicine

Barmina T.G.

Sklifosovsky Research Institute of Emergency Medicine

Kvardakova O.V.

Sklifosovsky Research institute for Emergency Care

Khachatryan S.A.

Sklifosovsky Research institute for Emergency Care

Received:

19.05.2022

Accepted:

24.08.2022

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