Clostridial Myonecrosis of the Chest Wall Complicating Spontaneous Esophageal Rupture

Joseph LoCicero*, Robert M Vanecko

*Corresponding author for this work

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Spontaneous rupture of the esophagus (Boerhaave's syndrome) has a dismal survival rate without prompt surgical management. A variety of surgical regimens have achieved survival of 70% or greater; however, the postoperative course is frequently complicated by fistula, would infection, empyema, and sepsis. We report an unusual postoperative chest wound infection of clostridial myonecrosis, which presumably originated from the patient's gastric microflora. He was treated with immediate surgical debridement of all involved tissue, prolonged ventilation, total parenteral nutrition, and frequent dressing changes. The remaining defect was closed with a skin graft. Anaerobic wound infections of the chest wall and their management are discussed.

Original languageEnglish (US)
Pages (from-to)396-397
Number of pages2
JournalAnnals of Thoracic Surgery
Volume40
Issue number4
DOIs
StatePublished - Jan 1 1985

Fingerprint

Surgical Wound Infection
Empyema
Spontaneous Rupture
Total Parenteral Nutrition
Thoracic Wall
Debridement
Wound Infection
Bandages
Esophagus
Fistula
Ventilation
Sepsis
Stomach
Thorax
Survival Rate
Transplants
Skin
Survival
Infection
Boerhaave syndrome

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

@article{a2d880f99ae446889881f646894f6354,
title = "Clostridial Myonecrosis of the Chest Wall Complicating Spontaneous Esophageal Rupture",
abstract = "Spontaneous rupture of the esophagus (Boerhaave's syndrome) has a dismal survival rate without prompt surgical management. A variety of surgical regimens have achieved survival of 70{\%} or greater; however, the postoperative course is frequently complicated by fistula, would infection, empyema, and sepsis. We report an unusual postoperative chest wound infection of clostridial myonecrosis, which presumably originated from the patient's gastric microflora. He was treated with immediate surgical debridement of all involved tissue, prolonged ventilation, total parenteral nutrition, and frequent dressing changes. The remaining defect was closed with a skin graft. Anaerobic wound infections of the chest wall and their management are discussed.",
author = "Joseph LoCicero and Vanecko, {Robert M}",
year = "1985",
month = "1",
day = "1",
doi = "10.1016/S0003-4975(10)60077-X",
language = "English (US)",
volume = "40",
pages = "396--397",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "4",

}

Clostridial Myonecrosis of the Chest Wall Complicating Spontaneous Esophageal Rupture. / LoCicero, Joseph; Vanecko, Robert M.

In: Annals of Thoracic Surgery, Vol. 40, No. 4, 01.01.1985, p. 396-397.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Clostridial Myonecrosis of the Chest Wall Complicating Spontaneous Esophageal Rupture

AU - LoCicero, Joseph

AU - Vanecko, Robert M

PY - 1985/1/1

Y1 - 1985/1/1

N2 - Spontaneous rupture of the esophagus (Boerhaave's syndrome) has a dismal survival rate without prompt surgical management. A variety of surgical regimens have achieved survival of 70% or greater; however, the postoperative course is frequently complicated by fistula, would infection, empyema, and sepsis. We report an unusual postoperative chest wound infection of clostridial myonecrosis, which presumably originated from the patient's gastric microflora. He was treated with immediate surgical debridement of all involved tissue, prolonged ventilation, total parenteral nutrition, and frequent dressing changes. The remaining defect was closed with a skin graft. Anaerobic wound infections of the chest wall and their management are discussed.

AB - Spontaneous rupture of the esophagus (Boerhaave's syndrome) has a dismal survival rate without prompt surgical management. A variety of surgical regimens have achieved survival of 70% or greater; however, the postoperative course is frequently complicated by fistula, would infection, empyema, and sepsis. We report an unusual postoperative chest wound infection of clostridial myonecrosis, which presumably originated from the patient's gastric microflora. He was treated with immediate surgical debridement of all involved tissue, prolonged ventilation, total parenteral nutrition, and frequent dressing changes. The remaining defect was closed with a skin graft. Anaerobic wound infections of the chest wall and their management are discussed.

UR - http://www.scopus.com/inward/record.url?scp=0021858947&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021858947&partnerID=8YFLogxK

U2 - 10.1016/S0003-4975(10)60077-X

DO - 10.1016/S0003-4975(10)60077-X

M3 - Article

C2 - 2864900

AN - SCOPUS:0021858947

VL - 40

SP - 396

EP - 397

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 4

ER -