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The Annals of Thoracic Surgery, Vol 50, 299-300, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Esophageal perforation in a patient with acquired immunodeficiency syndrome

MS Adkins, JS Raccuia and AJ Acinapura
Department of Cardiovascular and Thoracic Surgery, St. Vincent's Hospital and Medical Center, New York, New York.

Infection with Mycobacterium tuberculosis is frequently found in patients with acquired immunodeficiency syndrome and can result in diffuse lymphadenopathy from disseminated disease. A case is presented of esophageal erosion and perforation secondary to mediastinal lymph node enlargement from Mycobacterium tuberculosis in a patient positive for human immunodeficiency virus. Emergent surgical intervention required resection of the perforated esophagus, end-cervical esophagostomy, gastrostomy, and feeding jejunostomy. Long-term prognosis is poor owing to acquired immunodeficiency syndrome, therefore, reconstruction at a later date is uncertain.


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