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KMID : 0882420150880050555
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Korean Journal of Medicine
2015 Volume.88 No. 5 p.555 ~ p.559
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A Case of an Esophageal Foreign Body with Iatrogenic Esophageal Perforation Caused by the Gag Reflex
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Lee Tae-In
Jang Jae-Young
Yoon Kyung-Han
Um Yoo-Jin
Hong Seong-Hun
Kim Jung-Wook
Chang Young-Woon
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Abstract
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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.
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KEYWORD
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Esophageal perforation, Foreign bodies, Sedation
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