保存的治療で治癒した魚骨による食道穿孔の１例

• 和久 利彦

  セントラル病院外科 西条市立周桑病院外科

• 渡辺 和彦

  セントラル病院外科

• 冨岡 憲明

  セントラル病院外科

• 折田 洋二郎

  セントラル病院外科

書誌事項

タイトル別名

• A CASE OF ESOPHAGEAL PERFORATION CAUSED BY A FISH BONE TREATED CONSERVATIVELY

抄録

A 58-year-old man was admitted to the hospital because of epigastralgia and chest pain 4 days after he had eaten a fish (cooked sea bream). Endoscopic examination showed a fish bone stuck into the esophageal wall, so we removed it endoscopically. Chest CT scan after endoscopy revealed mediastinal and subcutaneous emphysema, mediastinal effusion, and pneumonia. The patient was intubated to control respiration because he suddenly developed severe dyspnea. On the hospital day 9 chest CT scan relieved mediastinal abscess formation and serious pneumonia and esophagogram showed leakage of contrast medium. Chest CT scan performed on the hospital day 20 demonstrated reduction of the mediastinal abscess, improvement of preumonia of the right lung field, and development of pneumonia in the left lung field. Thereafter pneumonia persisted, but his respiratory condition became stable. On the hospital day 57 esophagogram revealed no leakage and chest CT scan did not visualize mediastinal abscess and pneumonia. On the hospital day 87 endoscopic findings showed no perforation of the esophagus.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 66 (1), 58-62, 2005

  日本臨床外科学会

キーワード

• 魚骨
• 食道穿孔

詳細情報

• CRID: 1390282679826078720
• NII論文ID: 130003604262
• NII論文ID: 10014391493
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.66.58
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/66/1/66_1_58/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005061295
• 本文言語コード: ja
• データソース種別:
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