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KMID : 1214920110170020115
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Soonchunhyang Medical Science
2011 Volume.17 No. 2 p.115 ~ p.117
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Acute Esophageal Necrosis Associated with Esophageal Foreign Body Injury and the Development of Pneumomediastinum
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Kim Mi-Na
Lee Yong-Kang
Choi A-Ra
Park Yoon-Hea
Kim Do-Whan
Lee Yong-Chan
Lee Hyuk
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Abstract
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A 74-year-old woman complained of dysphagia and hemoptysis after ingesting a fragment of crab shell while eating crab saltedfermented fish products, and presented dyspnea that had lasted for three days. Computed tomography indicated pneumomediastinum. Laboratory results revealed acute renal failure. The patient experienced respiratory distress and shock over the days following her initial presentation. Upper gastrointestinal endoscopy revealed black pigmentation of the esophageal mucosa from the middle to lower esophagus. Despite intensive care, the patient’s condition deteriorated and she died. This is the first case of acute esophageal necrosis associated with esophageal foreign body injury and the development of pneumomediastinum reported in Korea.
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KEYWORD
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Acute esophageal necrosis, Foreign body injury, Endoscopy, Pneumomediastinum
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