Esophageal perforation in a patient with acquired immunodeficiency syndrome

Ann Thorac Surg. 1990 Aug;50(2):299-300. doi: 10.1016/0003-4975(90)90756-v.


Infection with Mycobacterium tuberculosis is frequently found in patients with acquired immunodeficiency syndrome and can result in diffuse lymphadenopathy from disseminated disease. A case is presented of esophageal erosion and perforation secondary to mediastinal lymph node enlargement from Mycobacterium tuberculosis in a patient positive for human immunodeficiency virus. Emergent surgical intervention required resection of the perforated esophagus, end-cervical esophagostomy, gastrostomy, and feeding jejunostomy. Long-term prognosis is poor owing to acquired immunodeficiency syndrome, therefore, reconstruction at a later date is uncertain.

Publication types

  • Case Reports

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Adult
  • Esophageal Perforation / etiology*
  • Esophageal Perforation / surgery
  • Humans
  • Male
  • Mediastinal Diseases / etiology
  • Tuberculosis, Lymph Node / complications*