Korean Journal of Gastrointestinal Endoscopy 1992;12(1): 9-12.
후종격동농양을 유발한 식도천공 1예 ( A Case of Mediastinal Abscess following Esophageal Perforation )
임용성, 김안나, 김성용, 임선희, 김나영, 이계희, 박성훈, 성상현 (Yong Sung Lim, An Na Kim, Sung Yong Kim, Sun Hee Lim, Na Young Kim, Kye Heui Lee, Sung Hoon Park and Sung Hyun Sung)
Abstract
We recently experienced a case of an elderly patient with mediastinal abscess, which is a rare complication of esophageal perforation, in whom dyspnea, chest pain and odynophagia were main clinical symptoms after eating cooked fish. During evaluation, upper mediastinal widening, with air-fluid level, and eaophageal perforation plugged with pus were detected by chest X-ray films and endoscopic examinatien. After draining of pus(about 300 cc) through the perforation site by careful manipulation of endoscope, inner wall of abacess cavity communicating with esophagus could be observed through esophago-mediastinal fistula. For further management, drainage procedure of mediastinal abscess, esophageal diversion and feeding gastrostomy were done.
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