Document Detail


Successful endoscopic hemoclipping of an esophageal perforation.
MedLine Citation:
PMID:  17760661     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
H Y Sung; J I Kim; D Y Cheung; S H Cho; S-H Park; J-Y Han; J K Kim; S W Han; K Y Choi; I S Chung
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus / I.S.D.E     Volume:  20     ISSN:  1120-8694     ISO Abbreviation:  Dis. Esophagus     Publication Date:  2007  
Date Detail:
Created Date:  2007-08-31     Completed Date:  2008-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809160     Medline TA:  Dis Esophagus     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  449-52     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology, Department of Internal Medicine, Catholic University of Korea, Seoul, Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Esophageal Perforation / etiology,  therapy*
Foreign Bodies / complications*
Hemostasis, Endoscopic / instrumentation*
Humans
Male
Mediastinal Emphysema / etiology,  therapy
Pleural Effusion / etiology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Nonoperative treatment of four esophageal perforations with hemostatic clips.
Next Document:  Fibrovascular polyp of the esophagus requiring esophagectomy.