All Subjects Medicine Surgery Pathology Anatomy Pharmacology Social & Preventive Medicine Microbiology Gynaecology & Obstetrics Dental Physiology Biochemistry Pediatrics
Showing 17354 questions
Sort:
15427 Surgery

During endoscopic biopsy of a distal esophageal cancer, perforation of the esophagus is suspected when the patient complains of significant new substernal pain. An immediate chest film reveals air in the mediastinum. You would recommend

APlacement of a nasogastric tube to the levels of perforations, antibiotics, and close observation
BSpit fistula (cervical pharyngostomy) and gastrostomy
CLeft thoracotomy, pleural patch oversewing of the perforation, and drainage of the mediastinum.
DEsophagogastrectomy celiotomy and right thoracotomy
Surgery
View Explanation →