Türken A, Tanyel F C, Hiçsönmez A
Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara.
Turk J Pediatr. 1999 Jul-Sep;41(3):391-3.
A 15-month-old girl who developed respiratory distress which persisted for three days prior to admission demonstrated pleural effusion on the chest x-ray which was determined to be due to esophageal perforation caused by the ingestion of a ball point. A gastrotomy was performed to extract the ball point. A gastrostomy was performed and a chest tube was inserted. The esophagus was normal radiologically within one month. Foreign body ingestion may cause esophageal perforation in childhood. If it goes unnoticed and a diagnosis is delayed, there is danger of the more hazardous development of mediastinitis. It is important that a child with respiratory distress also be evaluated for esophageal foreign body ingestion.
一名15个月大的女童出现呼吸窘迫，入院前持续了三天，胸部X光显示有胸腔积液，经诊断是由于吞食圆珠笔导致食管穿孔所致。进行了胃切开术以取出圆珠笔。实施了胃造口术并插入了胸管。一个月内食管在放射学上恢复正常。儿童吞食异物可能导致食管穿孔。如果未被注意到且诊断延迟，就有发生更危险的纵隔炎的风险。对出现呼吸窘迫的儿童评估是否吞食食管异物很重要。
