LATE ESOPHAGEAL PERFORATION AFTER ENDOSCOPIC EXPANSION OF A CONGENITAL ESOPHAGEAL STENOSIS. CHILD HOSPITAL MANUEL ASCENClO VILLARROEL, 2013 A CASE REPORT

Abstract

lt was analyzed a two years and two months old patient with congenital esophageal stenosis diagnosed three months before admission to Children ^ls Hospital Manuel Ascencio Villarroel, in 2013, with the aim of identifying the management of congenital esophageal stenosis and its complications.

The patient presented dysphagia to solids and semi-solids before endoscopic procedures: cough, fever, chest pain, difficult breathing and dilation cyanosis after the last esophageal.

Laboratory studies and auxiliary diagnostic methods were conducted such as: esophageal endoscopy; esophageal dilations; CBC; urine culture; CXR; purulent fluid culture of pleural cavity and esophagogram. The studies showed a late diagnosis confirmed by endoscopy. The treatment of stenosis with endoscopic dilatation was performed under general anesthesia; drilling esophagus posterior to the last endoscopy expansion.

In the outpatient consultation a urinalysis was conducted whose results were: +++ leukocytes, proteins +, positive nitrites. Microscopic examination: epithelial cells per field 2-4, abundant leukocytes, erythrocytes 0 to 1 per field, abundant bacterial flora pyocytes 1-3 per field. Similarly a urine culture was performed which resulted in: colonies> 100,000 CFU / ml, germ E. coli identified sensitive Sulfatrimetropin, Gentamicin, Norfloxacin, third generation cephalosporins. These results could be attributed thermal spikes.

Controversy persists in deciding which the best suitable initial treatment for esophageal stenosis box is: either a surgical operation or conservative management with endoscopic esophageal dilations.