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Introduction and importance <p>Oesophageal perforation is a critical condition associated with high morbidity and mortality, requiring rapid diagnosis and effective treatment. Endoscopic vacuum-assisted closure (EVAC) therapy has emerged as an innovative and effective approach for managing oesophageal perforations, offering advantages such as enhanced healing shorter hospital stay and reduced complications.</p> Case presentation <p>We report a case of oesophageal perforation complicated by subcutaneous emphysema, pleural effusions, and mild pneumothorax in a 40-year-old woman who presented with facial, neck, and chest swelling, dyspnoea, dysphagia, and fever following intubation during laparoscopic gynaecological surgery. Imaging revealed a defect in the oesophageal wall at the C5-C6 level with significant contrast extravasation and air tracking. Emergency surgical interventions, including chest tube placement, were performed, followed by a multidisciplinary treatment plan incorporating EVAC therapy. Post-treatment imaging demonstrated complete resolution of the perforation and associated complications.</p> Clinical discussion <p>This case highlights the utility of EVAC therapy as a safe and effective modality in the comprehensive management of oesophageal perforation, underscoring its role in improving patient outcomes.</p> Conclusion <p>EVAC therapy represents a promising approach for managing oesophageal perforations. It offers a minimally invasive alternative to traditional surgical treatment in resource-limited settings. This modality can potentially enhance healing, reduce complications, and lower costs.</p>

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Application of endoscopic vacuum-assisted closure therapy for oesophageal perforation: first case report in East Africa

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月1日

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  • Abdullahi Ahmed Ahmed,
  • Abdirahman Ahmed Omar Alasso,
  • Ismail Gedi Ibrahim,
  • Nasteho Mohamed Sheikh Omar

摘要

Introduction and importance

Oesophageal perforation is a critical condition associated with high morbidity and mortality, requiring rapid diagnosis and effective treatment. Endoscopic vacuum-assisted closure (EVAC) therapy has emerged as an innovative and effective approach for managing oesophageal perforations, offering advantages such as enhanced healing shorter hospital stay and reduced complications.

Case presentation

We report a case of oesophageal perforation complicated by subcutaneous emphysema, pleural effusions, and mild pneumothorax in a 40-year-old woman who presented with facial, neck, and chest swelling, dyspnoea, dysphagia, and fever following intubation during laparoscopic gynaecological surgery. Imaging revealed a defect in the oesophageal wall at the C5-C6 level with significant contrast extravasation and air tracking. Emergency surgical interventions, including chest tube placement, were performed, followed by a multidisciplinary treatment plan incorporating EVAC therapy. Post-treatment imaging demonstrated complete resolution of the perforation and associated complications.

Clinical discussion

This case highlights the utility of EVAC therapy as a safe and effective modality in the comprehensive management of oesophageal perforation, underscoring its role in improving patient outcomes.

Conclusion

EVAC therapy represents a promising approach for managing oesophageal perforations. It offers a minimally invasive alternative to traditional surgical treatment in resource-limited settings. This modality can potentially enhance healing, reduce complications, and lower costs.