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 language | English (US) |
|---|---|
| Pages (from-to) | 396-397 |
| Number of pages | 2 |
| Journal | Annals of Thoracic Surgery |
| Volume | 40 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jan 1 1985 |
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ASJC Scopus subject areas
- Surgery
- Pulmonary and Respiratory Medicine
- Cardiology and Cardiovascular Medicine
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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 journal › Article
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 -