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Ann Thorac Surg 2007;84:296-298
© 2007 The Society of Thoracic Surgeons

Case Reports

Endoscopic Closure of Cervical Esophageal Perforation Caused By Traumatic Insertion of a Mucosectomy Cap

Henning Gerke, MDa,*, Gail C. Crowe, RNa, Mark D. Iannettoni, MDb

a Division of Gastroenterology and Hepatology, Department of Medicine, Iowa City, Iowa
b Department of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa

Accepted for publication February 12, 2007.

* Address correspondence to Dr Gerke, Division of Gastroenterology and Hepatology, Department of Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, JCP 4548, Iowa City, IA 52242 (Email: henning-gerke{at}uiowa.edu).

Cap-assisted endoscopic mucosal resection enables nonsurgical removal of superficial esophageal lesions. Perforation at the resection site is a rare but known complication of this technique. We report a case in which traumatic insertion of the mucosectomy cap led to perforation of the cervical esophagus. This complication has not been previously reported. The perforation was successfully closed by the endoscopic placement of clips.






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