| Mediastinitis due to Esophageal Perforation as a Complication of Diagnostic Esophagogastroduodenoscopy |
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So Yoon Yoon, Ki Nam Shim, Hye In Kim, Kyoung Joo Kwon, Eun Mi Song, Seong Eun Kim, Hye Kyung Jung, Sung Ae Jung |
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Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. shimkn@ewha.ac.kr |
| 진단적 상부 위장관 내시경 후 발생한 식도 천공에 의한 종격동염 1예 |
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윤소윤, 심기남, 김혜인, 권경주, 송은미, 김성은, 정혜경, 정성애 |
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이화여자대학교 의학전문대학원 내과학교실 |
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| Abstract |
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Although diagnostic esophagogastroduodenoscopy is a reasonably safe procedure, complications may occur and can sometimes cause lift-threatening conditions. Esophageal perforation is one of the most serious complications. We report here a very rare case of esophageal perforation and mediastinitis by routine endoscopic study. A 69-year-old woman complained of edematous and painful neck area just after diagnostic endoscopy was finished. Computed tomography was performed and revealed mediastinitis at the superior mediastinum with deep neck infection by suspicious esophageal perforation. The patient completely recovered with prompt surgical intervention of incision and drainage. Because late diagnosis of the complication can lead to high mortality, endoscopists need to be aware of possible procedure-related complications. |
| Key Words:
Esophageal perforation; Mediastinitis; Complications; Endoscopy; Digestive system |
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