Korean Journal of Gastrointestinal Endoscopy 2008;37(3): 203-206.
상부 위장관 내시경 후 발생한 경부 국소농양 1예
우현재ㆍ배창훈ㆍ김용대ㆍ송시연
영남대학교 의과대학 이비인후-두경부외과학교실
A Case of a Localized Abscess in the Neck after Esophagogastroduodenoscopy
Hyun-Jae Woo, M.D., Chang Hoon Bae, M.D., Yong-Dae Kim, M.D. and Si-Youn Song, M.D.
Department of Otorhinolaryngology-Head and Neck Surgery, Yeungnam University College of Medicine, Daegu, Korea
Abstract
Perforations of the upper gastrointestinal tract are uncommon complications after performing an esophagogastroduodenoscopy (EGD). Perforations after an EGD procedure are likely to occur in the hypopharynx and cervical esophagus, where endoscope passage is anatomically difficult. Life-threatening complications including mediastinitis, a mediastinal abscess, pericarditis and sepsis can develop in most cases of a perforation. However, without such fatal complications, an abscess that is localized at the neck is extremely rare following an esophageal perforation. We experienced a case of a localized abscess in the neck after EGD and successfully treated the abscess without surgical management. We emphasize the importance of early detection for neck space infections caused by EGD-induced injuries. (Korean J Gastrointest Endosc 2008;37:203-206)
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