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Ann Thorac Surg 2004;77:1098-1100
© 2004 The Society of Thoracic Surgeons

Case report

Superimposed spontaneous esophageal perforation in congenital esophageal stenosis

J. Andres Gonzalez, MDa, Christopher M. Craft, MDa, T. Theron Knight, MDa, William H. Messerschmidt, MD*a

a Department of Surgery, Quillen College of Medicine, Johnson City, Tennessee, USA

Accepted for publication May 14, 2003.

* Address reprint requests to Dr Messerschmidt, Department of Surgery, ETSU, Quillen College of Medicine, Johnson City, TN 37614-0575, USA
e-mail: billm1{at}chartertn.net

Congenital esophageal stenosis (CES) is a very rare embryologic anomaly of tracheoesophageal development that requires lifelong management, usually with frequent esophageal dilations and dietary precautions. We present a patient with spontaneous thoracic esopahgeal perforation in a setting of CES. The patient, a 27-year-old male, recovered uneventfully following open primary esophageal closure. A brief but comprehensive discussion of CES follows the case report.






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