Esophageal perforation caused by impacted hot potato successfully managed nonoperatively: A rare case report from Ethiopia and literature review
Esophageal perforation represents a rare but life-threatening emergency that demands prompt diagnosis and multidisciplinary management to reduce associated morbidity and mortality. Although any esophageal segment may be affected, the thoracic esophagus is most frequently involved, with perforations...
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| Language: | English |
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Elsevier
2025-09-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325005047 |
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| author | Abdi Alemayehu, MD Irko Worku, MD Gulilat Sisay, MD Eyerusalem Getachew, MD Firaol Birhanu, BSc Desalegn Fikadu, MD |
| author_facet | Abdi Alemayehu, MD Irko Worku, MD Gulilat Sisay, MD Eyerusalem Getachew, MD Firaol Birhanu, BSc Desalegn Fikadu, MD |
| author_sort | Abdi Alemayehu, MD |
| collection | DOAJ |
| description | Esophageal perforation represents a rare but life-threatening emergency that demands prompt diagnosis and multidisciplinary management to reduce associated morbidity and mortality. Although any esophageal segment may be affected, the thoracic esophagus is most frequently involved, with perforations typically resulting from iatrogenic causes, trauma, or spontaneous rupture. Food bolus-induced perforations are exceptionally uncommon, with perforation by impacted hot potato being extraordinarily rare—only 1 prior case has been reported in medical literature. Computed tomography (CT) plays an indispensable diagnostic role, with characteristic findings including focal esophageal wall discontinuity, extraluminal mediastinal gas, and adjacent fat stranding. We describe a 16-year-old male prisoner who presented with chest pain and dysphagia 48 hours after inadvertently swallowing a hot potato; CT confirmed thoracic esophageal perforation secondary to the impacted bolus. The patient was managed nonoperatively with excellent clinical outcome. To our knowledge, this represents only the second reported case of esophageal perforation caused by an impacted hot potato. |
| format | Article |
| id | doaj-art-c74e389e12c44dfcaa260b7ef1f95be2 |
| institution | Matheson Library |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-c74e389e12c44dfcaa260b7ef1f95be22025-07-13T04:53:57ZengElsevierRadiology Case Reports1930-04332025-09-0120945364539Esophageal perforation caused by impacted hot potato successfully managed nonoperatively: A rare case report from Ethiopia and literature reviewAbdi Alemayehu, MD0Irko Worku, MD1Gulilat Sisay, MD2Eyerusalem Getachew, MD3Firaol Birhanu, BSc4Desalegn Fikadu, MD5Department of Radiology, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia; Corresponding author.Department of Radiology, Adama Comprehensive Specialized Hospital Medical College, Adama, EthiopiaDepartment of Radiology, Adama Comprehensive Specialized Hospital Medical College, Adama, EthiopiaDepartment of Radiology, Adama Comprehensive Specialized Hospital Medical College, Adama, EthiopiaDebi Diagnostic Center, Adama, EthiopiaDepartment of Surgery, Adama Comprehensive Specialized Hospital Medical College, Adama, EthiopiaEsophageal perforation represents a rare but life-threatening emergency that demands prompt diagnosis and multidisciplinary management to reduce associated morbidity and mortality. Although any esophageal segment may be affected, the thoracic esophagus is most frequently involved, with perforations typically resulting from iatrogenic causes, trauma, or spontaneous rupture. Food bolus-induced perforations are exceptionally uncommon, with perforation by impacted hot potato being extraordinarily rare—only 1 prior case has been reported in medical literature. Computed tomography (CT) plays an indispensable diagnostic role, with characteristic findings including focal esophageal wall discontinuity, extraluminal mediastinal gas, and adjacent fat stranding. We describe a 16-year-old male prisoner who presented with chest pain and dysphagia 48 hours after inadvertently swallowing a hot potato; CT confirmed thoracic esophageal perforation secondary to the impacted bolus. The patient was managed nonoperatively with excellent clinical outcome. To our knowledge, this represents only the second reported case of esophageal perforation caused by an impacted hot potato.http://www.sciencedirect.com/science/article/pii/S1930043325005047Case reportEsophageal perforationHot potatoPneumomediastinumEthiopian nonoperative management |
| spellingShingle | Abdi Alemayehu, MD Irko Worku, MD Gulilat Sisay, MD Eyerusalem Getachew, MD Firaol Birhanu, BSc Desalegn Fikadu, MD Esophageal perforation caused by impacted hot potato successfully managed nonoperatively: A rare case report from Ethiopia and literature review Radiology Case Reports Case report Esophageal perforation Hot potato Pneumomediastinum Ethiopian nonoperative management |
| title | Esophageal perforation caused by impacted hot potato successfully managed nonoperatively: A rare case report from Ethiopia and literature review |
| title_full | Esophageal perforation caused by impacted hot potato successfully managed nonoperatively: A rare case report from Ethiopia and literature review |
| title_fullStr | Esophageal perforation caused by impacted hot potato successfully managed nonoperatively: A rare case report from Ethiopia and literature review |
| title_full_unstemmed | Esophageal perforation caused by impacted hot potato successfully managed nonoperatively: A rare case report from Ethiopia and literature review |
| title_short | Esophageal perforation caused by impacted hot potato successfully managed nonoperatively: A rare case report from Ethiopia and literature review |
| title_sort | esophageal perforation caused by impacted hot potato successfully managed nonoperatively a rare case report from ethiopia and literature review |
| topic | Case report Esophageal perforation Hot potato Pneumomediastinum Ethiopian nonoperative management |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325005047 |
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