Iatrogenic Esophageal Transection, an Exceptional Complication of Selective Parathyroidectomy

A large variety of diagnostic and therapeutic procedures can occasionally cause an accidental perforation of the esophagus.We report a case of a selective parathyroidectomy for primary hyperparathyroidism that was complicated by inadvertent iatrogenic segmental resection of the cervical esophagus.The proximal location of the injury and its delayed discovery led to a challenging 2-stage repair with an unsuccessful esophagostomy initially, followed by laparoscopic transhiatal esophagectomy and gastric transposition with high cervical anastomosis, with favorable outcome.