Korean J Gastrointest Endosc.
2007 Jun;34(6):320-323.
Esophageal Perforation and Empyema after Fish Bone Swallowing
- Affiliations
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- 1Department of Internal Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea. cmcdj9502@catholic.ac.kr
- 2Department of Thoracosurgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea.
Abstract
- Most foreign bodies accidentally ingested are eliminated naturally but 10~20% of cases require endoscopic treatment. Esophageal perforation due to the indigestion of a foreign body is rare and might be followed by mediastinitis, broncho-esophageal fistula, pneumomediastinum, peritonitis, and empyema. Rapid surgery is important because the morbidity and mortality depend on the duration from perforation to treatment. A 64 year-old woman sustained odynophagea after swallowing a fish bone. Empyema due to an esophageal perforation developed, and she died despite aggressive treatment. This case highlights the need for an early diagnosis and treatment to reduce the morbidity and mortality
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