Diagnosis and management decision in delayed posterior mediastinal abscess secondary to thoracic esophageal perforation following accidental fish bone ingestion
Accidental swallowing of fish bone, which arrested in either the cervical or thoracic esophagus, is fairly common. However, the incidence of esophageal perforation due this fish bone is low. Delayed posterior mediastinal abscess as a result of the esophageal perforation is a rare manifestation...
| Main Authors: | , , , , |
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| Format: | Conference or Workshop Item |
| Language: | English English English |
| Published: |
2006
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/23270/ http://irep.iium.edu.my/23270/1/Dr_Raja2.Malaysia-Singapore_Congress.pdf http://irep.iium.edu.my/23270/2/Msia-Sing._Congress_2006.Oesophageal_Perforation.pdf http://irep.iium.edu.my/23270/3/malaysian-singapore.pdf |
| Summary: | Accidental swallowing of fish bone, which arrested in
either the cervical or thoracic esophagus, is fairly
common. However, the incidence of esophageal
perforation due this fish bone is low. Delayed posterior
mediastinal abscess as a result of the esophageal
perforation is a rare manifestation and may leads to fatal
outcome. Two cases of delayed formation of posterior
mediastinal abscess following thoracic esophageal
perforation due to accidental fish bone ingestion are
described in this presentation. In both cases the sole
clinical feature is interscapular back pain. In one of the
cases the patient died because of the presentation was
misdiagnosed hence delayed intervention. The clinical
presentations, radiological findings and surgical
management are discussed. Neck exploration and
esophagoscopy as the surgical treatment for this problem
are illustrated.
Key words: esophageal perforation, posterior
mediastinal abscess |
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