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Oesophageal ulcers are a rare pathological finding and usually they are not reason for consideration. The complications they can cause are strictures of the oesophagus as a result of callous chronic ulcer, acute haemorrhage from an oesophageal ulcer or chronic bleeding with development of post-haemorrhagic anaemia, formation of an oesophageal-bronchial fistula, malignant degeneration and perforation with development of mediastinitis and empyema.They occur most frequently in the lower third of the oesophagus, where it is located on the left of the spinal column, just before the card oesophageal junction. Oesophageal ulcers with a higher location to the border between the lower and the middle third of the oesophagus, have also been reported. These ulcers often occur along with a duodenal ulcer and duodenal gastroesophageal reflux. Due to late acceptance of the diagnosis, in most cases after development of mediastinitis and empyema, the treatment is very difficult and with high death rate and incidence rate. The surgical method of treatment with T-tube drainage for release of the oesophageal lumen and the adequate drainage of the mediastinum and the pleural cavity become more and more common in comparison to the conventional methods with removal of the oesophagus and creation of esophagogastrostomy, used widely in the past.

Controlled Esophagocutaneous Fistula with a T-Tube Drainage, as a Method of Control of Late Diagnosed Perforation of Acute Oesophageal Ulcer