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PEPTIC PERFORATION OF THE ESOPHAGUS IN A PATIENT WITH ZOLLINGER-ELLISON SYNDROME
Arianna Vittori
*1,2, Andrés R. Latorre-Rodríguez
1,3, Andrew Keogan
1,4, Sumeet K. Mittal
1,41Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ; 2University of Padua, School of Medicine, Padova, Italy; 3Universidad del Rosario. Escuela de Medicina y Ciencias de la Salud, Bogotá D.C., Colombia; 4Creighton University School of Medicine, Phoenix, AZ
Peptic esophageal perforations are rarely seen in the current era of potent acid suppression medication. We review the surgical steps and postoperative management of a peptic esophageal perforation in a patient with Zollinger-Ellison syndrome associated with a pyloric neuroendocrine tumor. A 51-year-old woman presented to an outside facility with abdominal pain and melena. Endoscopy revealed duodenal bleeding ulcer and grade D esophagitis. CT showed pneumothorax and pleural effusion. She was transferred to our center, and we performed right VATS and noted a peptic esophageal perforation in distal esophagus. After decortication, a 19 Fr silicone T-tube was placed through the perforation.
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