A Case of an Esophageal Foreign Body with Iatrogenic Esophageal Perforation Caused by the Gag Reflex.
10.3904/kjm.2015.88.5.555
- Author:
Tae In LEE
1
;
Jae Young JANG
;
Kyunghan YOON
;
Yu Jin UM
;
Seonghun HONG
;
Jung Wook KIM
;
Young Woon CHANG
Author Information
1. Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. jyjang@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Esophageal perforation;
Foreign bodies;
Sedation
- MeSH:
Anti-Bacterial Agents;
Constriction, Pathologic;
Empyema;
Esophageal Perforation*;
Esophagus;
Female;
Fistula;
Foreign Bodies*;
Humans;
Mediastinitis;
Methods;
Middle Aged;
Peritonitis;
Protective Devices;
Reflex*
- From:Korean Journal of Medicine
2015;88(5):555-559
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Esophageal foreign bodies are a common clinical problem; they can be removed via endoscopic intervention. However, sharp foreign bodies, such as fish bones, stuck in a physiological or pathological stenosis of the esophagus can sometimes lead to esophageal perforation. This can even lead to fatal complications, such as empyema, mediastinitis, esophago-tracheal fistula, and peritonitis. Consequently, during an endoscopic procedure, special precautions and protective devices are required. Here, we report the case of a 56-year-old woman who presented with an esophageal impacted fish bone with iatrogenic esophageal perforation caused by the gag reflex during endoscopic removal. She was treated successfully with surgery and antibiotics. The case highlights the need for sufficient sedation of the patient and attention by clinicians to achieve successful treatment without complications.
