Kim Eung-Soo, Kang Jong-Yael, Cho In-Soo, Rhee Gwang-Woo
Department of Thoracic and Cardiovascular Surgery, Hanil General Hospital, KEPCO Medical Foundation, Seoul, Republic of Korea.
Emergency Medicine, Hanil General Hospital, KEPCO Medical Foundation, Seoul, Republic of Korea.
J Thorac Dis. 2017 May;9(5):E408-E411. doi: 10.21037/jtd.2017.03.181.
The case report describes a 75-year-old female with esophageal perforation by a self bougienage. From a decade ago, she had performed an esophageal bougienage by herself with a 70 cm long self-made bougie whenever she suffered from food impaction. On the day of the accident, she went on an outing without carrying the bougie, she pushed a broken bough into her esophagus, eventually the bough perforated her thoracic esophagus. We found some food particles in a large mediastinal abscess cavity, and the perforated esophagus was repaired by interrupted sutures and reinforced with a pedicled intercostal musculopleural flap. We report an extremely rare case of esophageal perforation by a self bougienage.
该病例报告描述了一名75岁女性因自行扩张食管导致食管穿孔。十年前起，每当她出现食物嵌塞时，就会用一根70厘米长的自制扩张器自行进行食管扩张。事故当天，她外出游玩时未携带扩张器，便将一根折断的树枝插入食管，最终树枝穿破了她的胸段食管。我们在一个巨大的纵隔脓肿腔内发现了一些食物颗粒，穿孔的食管通过间断缝合进行修复，并用带蒂肋间肌胸膜瓣加固。我们报告了一例极为罕见的因自行扩张食管导致食管穿孔的病例。
