Korean J Gastrointest Endosc > Volume 34(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(6): 320-323.
생선 가시를 삼킨 후 발생한 식도 천공에 의한 농흉 1예
김연수·이승우·강상범·남순우·이동수·박 건*
가톨릭대학교 의과대학 내과학교실, *흉부외과학교실
Esophageal Perforation and Empyema after Fish Bone Swallowing
Yeon Soo Kim, M.D., Seung Woo Lee, M.D., Sang Bum Kang, M.D., Soon Woo Nam, M.D., Dong Soo Lee, M.D. and Kun Park, M.D.*
Departments of Internal Medicine and *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.
Key Words: Foreign body, Esophageal perforation, Empyema
주요어: 식도 이물, 식도 천공, 농흉
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