Esophageal Perforation Caused by a Fish Bone Treated with Surgically Indwelling Drainage and Fibrin Glue Injection for Fistula Formation
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概要
- 論文の詳細を見る
We herein report a case of thoracic esophageal perforation caused by a fish bone. The patient was a 68-year-old female who presented with a persistent sore throat after eating sea bream four days previously. She was diagnosed with an esophageal perforation and posterior mediastinal abscess formation by chest computed tomography and inflammatory findings in her blood test. Surgically indwelling drainage was able to effectively control the leakage of contaminants and infection. Endoscopic injection of fibrin glue into the long-standing thoracic-esophageal fistula promoted closure of the esophageal wall defect and enabled her to restart oral intake. This case report suggests that effective drainage and the use of fibrin glue sealant may be one of the treatment options for esophageal perforation.
著者
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Shiono Hiroyuki
Department Of General Thoracic Surgery (l5) Osaka University Graduate School Of Medicine
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Fujiwara Yoshinori
Department Of Community Health Tokyo Metropolitan Institute Of Gerontology
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Kimura Toru
Department Of General Thoracic Surgery National Hospital Organization Toneyama Hospital
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Shiono Hiroyuki
Department of General Thoracic Surgery, Nara Hospital, Kinki University School of Medicine, Ikoma, Nara, Japan
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Takemoto Toshiki
Department of General Thoracic Surgery, Nara Hospital, Kinki University School of Medicine, Ikoma, Nara, Japan
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Yane Katsunari
Department of Otolaryngology, Nara Hospital, Kinki University School of Medicine, Ikoma, Nara, Japan
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Fujiwara Yoshinori
Department of Surgery, Nara Hospital, Kinki University School of Medicine, Ikoma, Nara, Japan
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KIMURA Toru
Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital
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TAKEMOTO Toshiki
Department of General Thoracic Surgery, Nara Hospital, Kinki University School of Medicine
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