Primary repair of an esophageal rupture using pleural flap

Saulat Hasnain Fatimi, Sadaf Sheikh, Asif Anwar Ali

Research output: Contribution to journalArticlepeer-review


Esophageal perforation remains an important thoracic emergency. Aggressive operative therapy remains the mainstay for treatment. A case of esophageal perforation, consequent upon impacted food bolus, is presented. An 80 years old female, with multiple comorbidities, presented with dysphagia and right sided chest pain, who had a distal esophageal tear, secondary to accidental meat ball ingestion. Rigid esophagoscopy showed complete occlusion of the distal esophagus with a meat ball. Right thoracotomy was performed, which showed perforated esophagus with large meat ball protruding from it. Endoscopic removal of the food particles was done, and the rupture was repaired using a pleural flap. The entire postoperative stay was uneventful and the patient was discharged on the ninth post-operative day.

Original languageEnglish
Pages (from-to)309-310
Number of pages2
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Issue number4
Publication statusPublished - Apr 2006


  • Esophageal rupture
  • Meat bolus
  • Pleural flap
  • Repair


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