Mediastinitis due to Esophageal Perforation as a Complication of Diagnostic Esophagogastroduodenoscopy.
10.7704/kjhugr.2012.12.4.252
- Author:
So Yoon YOON
1
;
Ki Nam SHIM
;
Hye In KIM
;
Kyoung Joo KWON
;
Eun Mi SONG
;
Seong Eun KIM
;
Hye Kyung JUNG
;
Sung Ae JUNG
Author Information
1. Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. shimkn@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Esophageal perforation;
Mediastinitis;
Complications;
Endoscopy;
Digestive system
- MeSH:
Aged;
Delayed Diagnosis;
Digestive System;
Drainage;
Endoscopy;
Endoscopy, Digestive System;
Esophageal Perforation;
Female;
Humans;
Mediastinitis;
Mediastinum;
Neck
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2012;12(4):252-255
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although diagnostic esophagogastroduodenoscopy is a reasonably safe procedure, complications may occur and can sometimes cause lift-threatening conditions. Esophageal perforation is one of the most serious complications. We report here a very rare case of esophageal perforation and mediastinitis by routine endoscopic study. A 69-year-old woman complained of edematous and painful neck area just after diagnostic endoscopy was finished. Computed tomography was performed and revealed mediastinitis at the superior mediastinum with deep neck infection by suspicious esophageal perforation. The patient completely recovered with prompt surgical intervention of incision and drainage. Because late diagnosis of the complication can lead to high mortality, endoscopists need to be aware of possible procedure-related complications.
