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Ann Thorac Surg 2001;72:592-593
© 2001 The Society of Thoracic Surgeons

Case report

Esophageal perforation: a rare complication of Zollinger-Ellison syndrome

Thomas Ng, MDa, Donna E. Maziak, MDCMa, Farid M. Shamji, MDa

a Division of Thoracic Surgery, University of Ottawa, Ottawa, Ontario, Canada

Accepted for publication July 19, 2000.

Address reprint requests to Dr Maziak, Division of Thoracic Surgery, Ottawa Hospital, Civic Campus, 1053 Carling Ave, CPC Room 162, Ottawa, Ontario, Canada, K1Y 4E9
e-mail: dmaziak{at}civich.ottawa.on.ca

Spontaneous perforation of the esophagus is a rare manifestation of Zollinger-Ellison syndrome (ZES). Failure to recognize its existence can lead to an unsuccessful treatment of the esophageal perforation. We present a rare case of reflux esophagitis–induced esophageal perforation in a patient with ZES. Presence of a gastrinoma should be considered when recurrent or complicated reflux esophagitis is encountered.




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