EVT-Inspired Simplified Negative-Pressure Nasoesophageal Drainage for Cervical Abscess Secondary to Esophageal Perforation.
Lisha Yi, Linquan Zheng, Zelong Huang et al.
✦ AI-curated · Sources linked
Case in brief
A 52-year-old man presented with odynophagia and fever after ingesting a fish bone, leading to a diagnosis of cervical esophageal perforation with an associated abscess. Initial conservative management failed, prompting the use of an EVT-inspired simplified negative-pressure nasoesophageal drainage technique. This approach successfully controlled the infection, leading to abscess resolution and allowing the patient to resume oral intake by day 18.
Diagnostic / clinical pearl
This case highlights the potential of simplified negative-pressure nasoesophageal drainage as an effective alternative to standard esophageal vacuum therapy in managing cervical abscesses secondary to perforation.
Why it matters
The technique offers a cost-effective and less complex option for managing esophageal perforations in settings where traditional methods may not be feasible.