Management of esophageal perforation with fistula formation in an 80 year old woman with multiple co-morbidities


  • Jalal Almarzooq ENT Department, Salmaniya Medical Complex, Manama, Kingdom of Bahrain
  • Ayman Alkhabbaz Salmaniya Medical Complex, Bahrain
  • Nabeel Abdulla ENT Department, Salmaniya Medical Complex, Manama, Kingdom of Bahrain



Esophageal perforation, Esophageal fistula, Foreign body ingestion


Esophageal perforation due to foreign body ingestion may lead to serious complications. Here we present a case of an 80 year old lady with multiple co-morbidities who presented with a proximal esophageal perforation with fistula formation following ingestion of a fish bone. Due to her age and co-morbidities the decision was made to manage her conservatively by IV antibiotics, NG tube feeds and observation. Follow up after 2 months showed resolution of the perforation and fistula, without the patient needing any surgical intervention. This case highlights conservative management of esophageal perforation with complications in patients with co-morbidities where open surgery is not favoured.


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