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食道穿孔 및 縱隔洞炎을 倂發한 食道異物의 1例

Perforation of the Cervical Esophagus with Serious Mediastinitis due to Foreign Body and Bouginage

고공석,
소속 상세정보
고공석 (  ) - 전남대학교 의과대학 이비인후과교실

Abstract


A 18 year-old boy was admitted to Chonnam University Hospital with chief complaints of dysphagia, odynophagia and swelling of the left cervical region.
A day before entry he had experienced swallowing of a seed of peech by mistake.
On that day he had visited to a local clinic and treated with bouginge and swelling of the left. cervical and anterior chest region had developed.
Physical examination revealed semicomatous state which, appeared to be acutely ill.
There was crepitant rales on both lateral neck and anterior: chest;.region. Moist rales could be heard both lung field.
X-ray study of the chest P-A and right lateral view revealed marked winden the right supracardiac shadow with thickened minor interlobar´ fissure and localized emphysema in the retros ternal region.
Esophagoscopy was performed and removed seed of peech with esophageal forceps.
Second hospital day Stamen´s gastrostomy with mediastinotomy were performed and treated with massive antibiotics and fluids administered intravenously.

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