27 May 2026
: Case report 
Successful Multidisciplinary Management of Esophageal Perforation Complicated by Septic Shock: A Race Against Time
Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Khaled Sewify
ABCDEF 1*, Abdulrahman Saeed Alshamrani ABCDEF 2, Nawaf Zakary DE 2, Mohamed Regal AEF 3, Amira Elhassan ABCD 3, Abdelaziz Alsaher AF 1, Wael Gomaa AB 1, Eslam Elsayed Abdelshafey AEF 1
DOI: 10.12659/AJCR.952553
Am J Case Rep 2026; 27:e952553
Table 1 Trend of laboratory values before and after VATS procedures and esophageal stenting.
| Laboratory result | Reference range | On admission | 24 h after 1st VATS | 48 h after 1st VATS | 24 h after 2nd VATS | 48 h after 2nd VATS | 24 h after esophageal stent | 48 h after esophageal stent |
|---|---|---|---|---|---|---|---|---|
| WBC (×10/ul) | 4–11 | 19.4 | 9.24 | 10.2 | 23.3 | 20.8 | 13.4 | 15.6 |
| RDW (%) | 11.5–14.5 | 28.7 | 27.4 | 28.6 | 26.7 | 26.7 | 26.3 | 24.7 |
| Hemoglobin (g/dl) | 13–18 | 13.6 | 12.2 | 9.33 | 9.82 | 9.65 | 9.41 | 9.46 |
| Lymphocytes (×10/ul) | 1–5 | 1.5 | 0.60 | 0.53 | 1.36 | 1.30 | 1.54 | 1.65 |
| Neutrophil (×10/ul) | 2–7.5 | 17.4 | 8.24 | 9 | 20.3 | 17.9 | 10.8 | 12.5 |
| Platelet (×10/ul) | 140–450 | 383 | 337 | 247 | 420 | 513 | 653 | 791 |
| LDH (u/l) | 85–227 | 176 | 163 | 139 | 217 | 219 | 221 | 250 |
| Procalcitonin (ng/ml) | <0.05 | 0.03 | 4.62 | 3.38 | 0.19 | 0.37 | 0.27 | 0.25 |
| CRP (mg/l) | 0–5 | 147 | 277 | 303 | 155 | 174 | 141 | 89 |