Scheinin S A, Wells P R
Department of Cardiovascular Sugery, Christus St Joseph Hospital, Houston, Texas 77002, USA.
Tex Heart Inst J. 2001;28(1):65-8.
We present the case of a 59-year-old man who sustained an esophageal perforation as a result of sword swallowing. An esophagogram established the diagnosis, and surgical repair was attempted. However, 19 days later, a persistent leak and deterioration of the patient's condition necessitated a transhiatal esophagectomy with a left cervical esophagogastrostomy. The patient recovered and has resumed his daily activities at the circus, with the exception of sword swallowing. This case report presents an unusual mechanism for a potentially lethal injury. Our search of the English-language medical literature revealed no other report of esophageal perforation resulting from sword swallowing. Management of such an injury is often difficult, and a favorable outcome is dependent on prompt diagnosis and treatment.
我们报告一例59岁男性因吞剑导致食管穿孔的病例。食管造影确诊了病情，并尝试进行手术修复。然而，19天后，持续的渗漏和患者病情恶化，需要行经裂孔食管切除术及左颈部食管胃吻合术。患者康复后，除了吞剑外，已恢复在马戏团的日常活动。本病例报告展示了一种导致潜在致命伤的不寻常机制。我们检索英文医学文献，未发现其他因吞剑导致食管穿孔的报告。此类损伤的处理通常很困难，良好的预后取决于及时的诊断和治疗。
