Successful endoscopic hemoclipping of an esophageal perforation

被引：14

作者：

Sung, H. Y. ^{[1
]}

Kim, J. I. ^{[1
]}

Cheung, D. Y. ^{[1
]}

Cho, S. H. ^{[1
]}

Park, S.-H. ^{[1
]}

Han, J. -Y. ^{[1
]}

Kim, J. K. ^{[1
]}

Han, S. W. ^{[1
]}

Choi, K. Y. ^{[1
]}

Chung, I. S. ^{[1
]}

机构：

[1] Catholic Univ Korea, Dept Internal Med, Div Gastroenterol, St Marys Hosp, Seoul 150713, South Korea

来源：

DISEASES OF THE ESOPHAGUS | 2007年 / 20卷 / 05期

关键词：

esophageal perforation; hemoclipping;

D O I：

10.1111/j.1442-2050.2007.00702.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We describe a case of esophageal perforation that resulted from a fishbone. A 71-year-old man had had a fishbone impacted in the lower esophagus for 2 days. At presentation, the bone was dislodged at endoscopy; one round opening in a deep ulceration was detected when the fishbone was removed. The perforation was closed by endoscopic hemoclipping, after the removal of the fishbone. A thoracic computed tomography revealed air around the esophagus, aorta and bronchus and the presence of a pleural effusion. These findings suggested mediastinal emphysema and mediastinitis due to the esophageal perforation after the removal of the fishbone. Esophagography revealed a focal esophageal defect and linear contrast leakage at the distal esophagus. The mediastinal emphysema and pleural effusion successfully resolved after the endoscopic hemoclip application and conservative management of the perforation.

引用

页码：449 / 452

页数：4

共 14 条

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