Fatal intestinal perforation secondary to fragmentation of a Celestin tube.

Abstract:

BACKGROUND/AIMS:Oesophageal intubation remains one of the principal methods of palliation for an obstructing oesophageal carcinoma. We present a case which illustrates a rare but fatal complication of this procedure. METHODS:A 60-year-old female with oesophageal cancer presented with total dysphagia 9 months following insertion of a Celestin tube for palliation. Oesophagoscopy revealed a bolus obstruction which was successfully cleared. Two days later she developed generalised peritonitis and subsequently died. RESULTS:A post-mortem examination demonstrated fragmentation and displacement of the distal part of the Celestin tube resulting in perforation of the small bowel. CONCLUSION:Celestin tube disintegration is a risk associated with long-term use, and routine replacement is indicated in patients with a prolonged survival to avoid this complication.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Evans JD,Halloran CM,Mansour P,Zeiderman MR

doi

10.1159/000018886

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

400-2

issue

4

eissn

0253-4886

issn

1421-9883

pii

18886

journal_volume

17

pub_type

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