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- Title
Successful endoscopic hemoclipping of an esophageal perforation.
- Authors
Sung, H. Y.; Kim, J. I.; Cheung, D. Y.; Cho, S. H.; Park, S.-H.; Han, J.-Y.; Kim, J. K.; Han, S. W.; Choi, K. Y.; Chung, I. S.
- Abstract
We describe a case of esophageal perforation that resulted from a fishbone. A 71-year-old man had had a fishbone impacted in the lower esophagus for 2 days. At presentation, the bone was dislodged at endoscopy; one round opening in a deep ulceration was detected when the fishbone was removed. The perforation was closed by endoscopic hemoclipping, after the removal of the fishbone. A thoracic computed tomography revealed air around the esophagus, aorta and bronchus and the presence of a pleural effusion. These findings suggested mediastinal emphysema and mediastinitis due to the esophageal perforation after the removal of the fishbone. Esophagography revealed a focal esophageal defect and linear contrast leakage at the distal esophagus. The mediastinal emphysema and pleural effusion successfully resolved after the endoscopic hemoclip application and conservative management of the perforation.
- Subjects
ENDOSCOPIC surgery; ESOPHAGUS diseases; TOMOGRAPHY; ENDOSCOPY; ESOPHAGUS
- Publication
Diseases of the Esophagus, 2007, Vol 20, Issue 5, p449
- ISSN
1120-8694
- Publication type
Article
- DOI
10.1111/j.1442-2050.2007.00702.x