Distal Esophageal Perforation Caused by Press-Through-Pack Ingestion.
- Author:
Yong Sung KIM
1
;
Dong Seop SONG
Author Information
1. Department of Internal Medicine, Wonkang Digestive Research Institute, Wonkang University College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Esophagus;
Esophageal perforation;
Foreign bodies
- MeSH:
Deglutition Disorders;
Drainage;
Eating;
Emergencies;
Endoscopy;
Esophageal Perforation;
Esophagus;
Fasting;
Follow-Up Studies;
Foreign Bodies;
Humans;
Korea;
Middle Aged;
Thoracic Cavity;
Thorax
- From:Korean Journal of Gastrointestinal Endoscopy
2009;39(6):355-358
- CountryRepublic of Korea
- Language:Korean
-
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.
