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Exam questionKROK 2Medicine · 2010

On the next day after esophagoscopy and biopsy a 44-year-old female patient developed emphysema of both supraclavicular regions, deglutition pain and pain behind the breastbone, cyanosis. Body temperature - 39°C. In blood: WBCs - 16 × 109/l, left shift in the neutrophils. X-ray picture shows a limited shadow of the posterior mediastinum at a level with trachea bifurcation. The patient was diagnosed with esophagus rupture. What treatment tactics would be the most rational?

Answer options

  1. Surgical: mediastinum drainage, gastric fistula establishment
  2. Conservative antibacterial treatment
  3. Radical surgical treatment with esophagus suturing
  4. Surveillance
  5. Surgical: gastric fistula establishment
Correct answer

Surgical: mediastinum drainage, gastric fistula establishment

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