University Hospital Birmingham NHS Foundation Trust, Department of Otolaryngology, Head and Neck Surgery, Birmingham, United Kingdom.
Head Neck. 2011 May;33(5):756-8. doi: 10.1002/hed.21337. Epub 2010 Jan 20.
An endoscopic ultrasound scan is a common procedure used to diagnose conditions of the upper gastrointestinal tract. We present a case of hypopharyngeal perforation complicating endoscopic ultrasound scan treated with primary surgical repair.
A 62-year-old woman underwent an endoscopic ultrasound scan for investigation of a pancreatic lesion. A high esophageal perforation occurred during the procedure. She underwent emergency repair of this perforation via an external approach. Unfortunately her recovery was complicated by a pleural effusion which required a chest drain. She made a complete recovery, which was confirmed with a barium swallow.
Upper esophageal perforation is a rare complication of an endoscopic ultrasound scan and, to our knowledge, there have been no reported cases of hypopharyngeal perforation. The risk factors, incidence, and management of perforations are reviewed. Early recognition of hypopharyngeal perforation is important and, in selected cases, immediate repair of the defect can lead to a good result.
内镜超声扫描是一种常用于诊断上消化道疾病的常见程序。我们报告了一例并发内镜超声扫描的咽后穿孔，采用了一期手术修复治疗。
一位 62 岁女性因胰腺病变而行内镜超声扫描检查。在该过程中发生了高位食管穿孔。她通过外部途径紧急修复了该穿孔。不幸的是，她的恢复情况因胸腔积液而变得复杂，需要放置胸腔引流管。她完全康复，并通过钡餐检查得到确认。
上食管穿孔是内镜超声扫描的罕见并发症，据我们所知，咽后穿孔尚未有报道。我们回顾了穿孔的危险因素、发生率和处理方法。早期识别咽后穿孔很重要，在选择的病例中，立即修复缺陷可以带来良好的结果。
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