Traumatic Esophageal Perforation Resulting from Endotracheal Intubation

E sophageal perforation due to a traumatic intubation is exceedingly rare. If not noticed immediately or treated promptly, however, the morbidity and mortality is significant. Most cases present within 24 h after the event. A delay in symptoms that signal esophageal perforation after a traumatic endotracheal intubation has serious clinical implications. We report a case of traumatic esophageal perforation due to endotracheal intubation for elective sinus surgery under general anesthesia with a delay in onset of symptoms and signs. The diagnosis and management of this complication are discussed.