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 Scopus citations

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

ASJC Scopus subject areas

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

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