| Ingested ring-pull causing bronchoesophageal fistula and transection of the left main bronchus: successful salvage of the left lung and esophagus five years after injury. | |
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MedLine Citation:
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PMID: 10591564 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 6-year-old girl with a history of ingestion of a ring-pull of a can and a transient episode of stridor had been asymptomatic 3 years before admission when left lung atelectasis with severe respiratory distress developed. Fluoroscopy and 3-dimensional computed tomography scan showed bronchoesophageal fistula and the ring-pull around the left main bronchus. At operation, the ring-pull, which transected the left main bronchus, was extracted. The left main bronchus was reconstructed by end-to-end anastomosis in spite of insufficient inflation of the collapsed left lung. The esophageal defect was repaired. The patient's respiratory distress gradually disappeared, and the x-ray films 3 months after operation showed complete expansion of the left lung. This case shows the risk of the long-term retained esophageal foreign body and the possibility of pulmonary salvage after long-term total atelectasis of the lung. |
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Authors:
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S Satoh; C Tsugawa; N Tsubota; E Nishijima; T Muraji |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 34 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 1999 Nov |
Date Detail:
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Created Date: 2000-01-05 Completed Date: 2000-01-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1658-60 Citation Subset: IM |
Affiliation:
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Department of Surgery, Kobe Children's Hospital and Hyogo Medical Center, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Airway Obstruction
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etiology,
radiography,
surgery Bronchi / injuries* Bronchial Fistula / etiology, radiography, surgery* Child Esophageal Fistula / etiology, radiography, surgery* Esophagus / injuries* Female Follow-Up Studies Foreign Bodies / radiography, surgery* Humans Salvage Therapy / methods* Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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