| A Case of an Esophageal Foreign Body with Iatrogenic Esophageal Perforation Caused by the Gag Reflex |
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Tae In Lee, Jae-Young Jang, Kyunghan Yoon, Yu Jin Um, Seonghun Hong, Jung-Wook Kim, Young-Woon Chang |
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Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea |
| 구역 반사로 천공을 초래한 식도 이물 1예 |
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이태인, 장재영, 윤경한, 엄유진, 홍성훈, 김정욱, 장영운 |
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경희대학교 의과대학 내과학교실 |
Correspondence:
Jae-Young Jang, Tel: +82-2-958-8260, Fax: +82-2-968-1848, Email: jyjang@khu.ac.kr
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Received: 4 August 2014 • Revised: 13 October 2014 • Accepted: 20 October 2014 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| 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. |
| Key Words:
Esophageal perforation; Foreign bodies; Sedation |
| 주제어:
식도 천공; 이물; 진정 |
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