Journal
OBESITY SURGERY
Volume 17, Issue 7, Pages 986-988Publisher
SPRINGER
DOI: 10.1007/s11695-007-9156-5
Keywords
morbid obesity; bariatric surgery; Roux-en-Y gastric bypass; laparoscopic; esophageal perforation; mediastinitis; esophagostomy
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Mediastinitis secondary to esophageal perforation is usually a life-threatening problem associated with high morbidity and mortality. We present a 44-year-old morbidly obese female who underwent laparoscopic gastric bypass, during which she suffered perforation of the distal thoracic esophagus diagnosed 5 days later during progression of mediastinitis. She was treated with left posterolateral thoracotomy, drainage of a peri-esophageal abscess and primary repair of the esophagus with intercostal muscle reinforcement, and cervical esophagostomy. Thereafter, she had an uneventful hospital course, and remains well on 12-month follow-up.
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