Korean Journal of Gastrointestinal Endoscopy 2009;39(6): 355-358.
낱알 모음 포장(Press-Through-Pack) 삼킴으로 인한 하부 식도 천공
김용성ㆍ송동섭*
원광대학교 의과대학 산본병원 내과학교실ㆍ원광 소화기질환 연구소, *흉부외과학교실
Distal Esophageal Perforation Caused by Press-Through-Pack Ingestion
Yong Sung Kim, M.D. and Dong Seop Song, M.D.*
Departments of Internal MedicineㆍWonkang Digestive Research Institute, *Department of Thoracic and Cardiovascular Surgery, Sanbon Hospital, Wonkang University College of Medicine, Gunpo, Korea
Abstract
A 60-year-old man presented with epigastric pain. The patient had no history of foreign body ingestion and had no symptoms of dysphagia or odynophagia. Chest computed tomography scan showed an esophageal perforation with unknown etiology and an emergency operation for thoracic cavity irrigation and drainage was undertaken, followed by fasting and conservative treatment. Two weeks later, a follow-up chest computed tomography scan revealed a suspicious foreign body in the distal esophagus. Endoscopy revealed a press-through-pack (PTP) that had caused an esophageal perforation. Despite extraction of the PTP and antibiotic administration, the patient died. The present case is important since PTP is commonly used in Korea. (Korean J Gastrointest Endosc 2009;39:355-358)
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