Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body
Cases of foreign body ingestion are encountered relatively often in clinical settings; however, serious complications are rare. In such cases, mediastinal abscess due to esophageal perforation can become a life-threatening complication. We encountered two cases of severe complications due to an esop...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/9/1504 |
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| author | Ji-Hee Han Ra-Ri Cha Ji-Yoon Kwak Hankyu Jeon Sang-Soo Lee Jae Jun Jung Jin Kyu Cho Hyun Jin Kim |
| author_facet | Ji-Hee Han Ra-Ri Cha Ji-Yoon Kwak Hankyu Jeon Sang-Soo Lee Jae Jun Jung Jin Kyu Cho Hyun Jin Kim |
| author_sort | Ji-Hee Han |
| collection | DOAJ |
| description | Cases of foreign body ingestion are encountered relatively often in clinical settings; however, serious complications are rare. In such cases, mediastinal abscess due to esophageal perforation can become a life-threatening complication. We encountered two cases of severe complications due to an esophageal fish bone foreign body. The first case was a 40-year-old male with an intramural esophageal abscess due to a fish bone after eating fish five days before visiting the hospital. The patient underwent surgical treatment, but the esophageal abscess did not improve; so, the abscess was drained through endoscopic mucosal dissection, and the abscess improved. In the second case, a 64-year-old male, who had eaten fish three days before visiting the hospital, had esophageal perforation by a fish bone, and abscess formation in the mediastinum and the lesser sac in the abdominal cavity were observed. Although surgical treatment was performed, the intra-abdominal abscess formation was not controlled; so, percutaneous drainage (PCD) was inserted, and the abscess improved. Both patients were discharged without any complications. Here, we report two cases that were improved through surgical treatments and additional treatments such as endoscopic dissection and PCD. |
| first_indexed | 2024-03-10T22:28:37Z |
| format | Article |
| id | doaj.art-0221ff641a5b46d89619c3bb788adca6 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T22:28:37Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-0221ff641a5b46d89619c3bb788adca62023-11-19T11:50:49ZengMDPI AGMedicina1010-660X1648-91442023-08-01599150410.3390/medicina59091504Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign BodyJi-Hee Han0Ra-Ri Cha1Ji-Yoon Kwak2Hankyu Jeon3Sang-Soo Lee4Jae Jun Jung5Jin Kyu Cho6Hyun Jin Kim7Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of KoreaDepartment of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of KoreaDepartment of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of KoreaDepartment of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of KoreaDepartment of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of KoreaDepartment of Thoracic and Cardiovascular Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of KoreaDepartment of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of KoreaDepartment of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Jinju 52828, Republic of KoreaCases of foreign body ingestion are encountered relatively often in clinical settings; however, serious complications are rare. In such cases, mediastinal abscess due to esophageal perforation can become a life-threatening complication. We encountered two cases of severe complications due to an esophageal fish bone foreign body. The first case was a 40-year-old male with an intramural esophageal abscess due to a fish bone after eating fish five days before visiting the hospital. The patient underwent surgical treatment, but the esophageal abscess did not improve; so, the abscess was drained through endoscopic mucosal dissection, and the abscess improved. In the second case, a 64-year-old male, who had eaten fish three days before visiting the hospital, had esophageal perforation by a fish bone, and abscess formation in the mediastinum and the lesser sac in the abdominal cavity were observed. Although surgical treatment was performed, the intra-abdominal abscess formation was not controlled; so, percutaneous drainage (PCD) was inserted, and the abscess improved. Both patients were discharged without any complications. Here, we report two cases that were improved through surgical treatments and additional treatments such as endoscopic dissection and PCD.https://www.mdpi.com/1648-9144/59/9/1504foreign bodyesophageal perforationendoscopic submucosal dissectioncase reportpercutaneous drainageesophageal abscess |
| spellingShingle | Ji-Hee Han Ra-Ri Cha Ji-Yoon Kwak Hankyu Jeon Sang-Soo Lee Jae Jun Jung Jin Kyu Cho Hyun Jin Kim Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body Medicina foreign body esophageal perforation endoscopic submucosal dissection case report percutaneous drainage esophageal abscess |
| title | Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body |
| title_full | Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body |
| title_fullStr | Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body |
| title_full_unstemmed | Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body |
| title_short | Two Cases of Severe Complications Due to an Esophageal Fish Bone Foreign Body |
| title_sort | two cases of severe complications due to an esophageal fish bone foreign body |
| topic | foreign body esophageal perforation endoscopic submucosal dissection case report percutaneous drainage esophageal abscess |
| url | https://www.mdpi.com/1648-9144/59/9/1504 |
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