@entity3253 as the primary manifestation of adult XXXX . Two case reports and a review of the literature.

@entity1 @entity5202 @entity391 @entity3253 @entity56 @entity1282
@entity5202 ( @entity5202 ) has been associated with an increased risk of esophageal mucosal tears induced by @entity391 to dislodge impacted food or following endoscopic procedures. However, @entity3253 or transmural perforation of the organ resulting from @entity391 induced to dislodge impacted food has rarely been reported. In this article, we present two male adult @entity1 with long-term esophageal symptoms who suffered from @entity3253 after the impaction of food in the esophagus. Both @entity1 required surgical management because of clinical and radiological signs of perforation. This rare complication of @entity5202 has been documented in 11 other reports, predominantly affecting young @entity1 in whom @entity5202 had not been previously diagnosed, despite the majority having esophageal symptoms and a history of atopy. There are only two published cases of esophageal perforation that presented in @entity1 , which were managed conservatively. Our two @entity1 and 4 out of the 11 described in literature required surgery because of esophageal perforation. Our two cases involved closure of the perforation, while in three published reports, perforation resulted in a partial or complete esophagectomy. No cases have been published on @entity3253 caused by @entity5202 that ended in fatalities. It is important to note that esophageal perforation caused by @entity391 is a potentially severe complication of @entity5202 that is being increasingly described in literature. Therefore, @entity1 with non-traumatic @entity3253 should be assessed for @entity5202 , especially if they are young @entity1 who have a prior history of @entity1282 and @entity56 manifestations.
