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Ann Thorac Surg 1990;50:299-300
© 1990 The Society of Thoracic Surgeons

Articles

Esophageal perforation in a patient with acquired immunodeficiency syndrome

Mark S. Adkins, MD*, Joseph S. Raccuia, MD, Anthony J. Acinapura, MD

Department of Cardiovascular and Thoracic Surgery, St. Vincent's Hospital and Medical Center, New York, New York, USA

Accepted for publication January 31, 1990.

* Address reprint requests to Dr Adkins, Department of Surgery, Deborah Heart and Lung Center, 200 Trenton Rd, Browns Mills, NJ 08015.

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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