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KMID : 1048120190080010059
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International Journal of Gastrointestinal Intervention
2019 Volume.8 No. 1 p.59 ~ p.61
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Iatrogenic pyriform sinus perforation during endoscopic ultrasonography
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Kim Young-Min
Park Jae-Jun
Youn Young-Hoon
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Abstract
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Summary of Event: A 65-year-old women underwent endoscopic ultrasonography (EUS) to evaluate the gastric submucosal tumor. The EUS scope was inserted into the esophagus after two attempts. A neck computed tomography (CT) scan showed a pneumomediastinum and an air bubble deep in the neck, suggesting an esophageal rupture. The patient was hospitalized and maintained conservative treatment including broad-spectrum antibiotics and withholding oral feeding.
Teaching Point: Endoscopists should consider an imaging modality when a patient complains of moderate to severe neck pain after an upper endoscopy. Prompt surgical management should be considered in patients with a delayed diagnosis (> 24 hours), those with signs of systemic toxicity, and those who have eaten between the time of the procedure and when the perforation was detected.
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KEYWORD
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Endoscopic ultrasonography, Iatrogenic perforation, Pyriform sinus
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