Year 2025 / Volume 117 / Number 11
Letter
Endoscopic treatment of an esophageal perforation in eosinophilic esophagitis by insertion of a self-expanding metal stent

698-699

DOI: 10.17235/reed.2024.10412/2024

María Belén López Moreno, Víctor Jiménez Beltrán, María Antonia Godoy López, Jesús García-Cano,

Abstract
We present the case of a 29-year-old patient with multiple allergies, mild asthma and rhinoconjunctivitis who reported a history of esophageal impactions after ingestion of solid foods. These episodes resolved spontaneously at home and by self-induced vomiting and never required endoscopic removal. The patient presented to the emergency department due to a sensation of food impaction lasting more than 12 hours after eating meat the night before, which did not subside with the intake of liquids or self-induced vomiting. Endoscopic evaluation was requested for foreign body extraction. A meat bolus impacted in the distal esophagus was easily removed using a Roth basket, revealing a severe esophageal stricture that prevented passage of the endoscope into the gastric cavity. Furthermore, in the same area where the foreign body was previously located, a deep esophageal tear was seen. Given the high suspicion of perforation, the patient was examined, and thoracic and cervical crepitation was observed. It was decided to immediately insert, with only endoscopic control, a partially covered Ultraflex® esophageal stent measuring 18 mm in diameter and 15 cm in length. After insertion, clinical improvement and cessation of crepitation were observed.
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López Moreno M, Jiménez Beltrán V, Godoy López M, García-Cano J. Endoscopic treatment of an esophageal perforation in eosinophilic esophagitis by insertion of a self-expanding metal stent . 10412/2024


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Publication history

Received: 18/03/2024

Accepted: 02/04/2024

Online First: 30/04/2024

Published: 11/11/2025

Article Online First time: 43 days

Article editing time: 603 days


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