Korean J Gastroenterol.  2022 Dec;80(6):262-266. 10.4166/kjg.2022.098.

Esophageal Stricture after Endoscopic Drainage of Esophageal Abscess as a Complication of Acute Phlegmonous Esophagitis: A Case Report

• Kim MJ
• Ryu DG
• Park SB
• Choi CW
• Kim HW
• Kim SJ

• KMID: 2537097
• DOI: http://doi.org/10.4166/kjg.2022.098

Abstract

Esophageal abscess caused by acute phlegmonous esophagitis is rare but life-threatening. Rapid abscess drainage is an important part of the treatment, and endoscope-assisted intra-luminal abscess drainage is frequently performed. Although endoscopic drainage is less invasive than surgery, it has the potential to cause esophageal stricture as a complication. We present a rare case of esophageal stricture as a complication of intra-luminal drainage and evaluate a method to minimize the incidence of esophageal stricture complications.

Keyword

Esophageal stenosis; Abscess; Endoscopy; Drainage

Figure

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  Fig. 1 Initial chest CT image. (A) Diffuse wall thickening of the esophageal wall and air-bubble sign (arrow) were observed. (B) Esophageal dilatation due to the mass like lesion (arrow) of the gastroesophageal junction is observed.

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  Fig. 2 Initial gastric endoscopy image. An abscess of from 23 cm to 45 cm of the incisor teeth accompanied with 2 cm sized mucosal defect on incisor teeth 23 cm of esophageal wall.

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  Fig. 3 Endoscopic drainage of an abscess in the esophagus. (A) Abscess lumen (arrow) is observed. (B) Esophageal mucosal incision was made from the incisor teeth 23 cm to 40 cm.

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  Fig. 4 Esophageal stricture (arrow) was newly revealed following endoscopy.

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  Fig. 5 Treatment for esophageal stricture. (A) Endoscopic balloon dilation. (B) Esophageal self-expandable metal stent insertion. (C) Esophageal lumen dilatation using the bougienage.

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