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CC BY 4.0 · European J Pediatr Surg Rep. 2022; 10(01): e131-e134
DOI: 10.1055/s-0042-1756207
Case Report

Esophageal Perforation into the Pericardium in a 3-Year-Old Child with Esophageal Stricture: A Rare Complication Following Esophageal Dilatation

Abdulrahman Nasser
1   College of Medicine, Taibah University, Al Madinah Al Monawrrah, Saudi Arabia
,
Raif Nassir
2   Department of Pediatric Surgery, King Salman Medical City, Al Madinah Al Monawrrah, Saudi Arabia
,
Muhammad Younas Awan
3   Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
,
Mohammad Anas AlShawa
3   Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
,
Zakaria Habib
3   Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Abstract

Perforation of the esophagus during dilatation is a rare complication that might cause mortality. We present the report of a 3-year-old girl who was diagnosed with B cell acute lymphoblastic leukemia at 17 months of age. She experienced a complicated clinical course after chemotherapy was initiated, which included mucositis and acute pericarditis. She later developed an acquired esophageal stricture and tracheoesophageal fistula, which were managed with resection and primary anastomosis when she was in remission. Postoperatively, the patient developed a leak, which was treated conservatively. She subsequently developed a stricture that was treated successfully. On the fourth dilatation attempt and after she was sent home, she presented with persistent vomiting and low-grade fever and became vitally unstable on the same day, after stabilization, upper gastroenterology contrast revealed contrast filling the pericardium. She was managed conservatively with close observation and serial echocardiograms and then discharged home on day 18 in good condition after complete resolution of the pericardial effusion.

Keywords

esophageal dilatation - pneumomediastinum - pericardial perforation


Publication History

Received: 10 July 2021

Accepted: 19 May 2022

Article published online:
02 September 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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