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KMID : 0359020070340060320
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.34 No. 6 p.320 ~ p.323
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Esophageal Perforation and Empyema after Fish Bone Swallowing
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Kim Yon-Soo
Lee Seung-Woo
Kang Sang-Bum
Nam Soon-Woo
Lee Dong-Soo
Park Kuhn
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Abstract
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Most foreign bodies accidentally ingested are eliminated naturally but 10∼20% of cases require endoscopic treatment. Esophageal perforation due to the indigestion of a foreign body is rare and might be followed by mediastinitis, broncho-esophageal fistula, pneumomediastinum, peritonitis, and empyema. Rapid surgery is important because the morbidity and mortality depend on the duration from perforation to treatment. A 64 year-old woman sustained odynophagea after swallowing a fish bone. Empyema due to an esophageal perforation developed, and she died despite aggressive treatment. This case highlights the need for an early diagnosis and treatment to reduce the morbidity and mortality.
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KEYWORD
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Foreign body, Esophageal perforation, Empyema
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