儿童因异物嵌顿导致的长期食管穿孔：资源有限环境下的治疗挑战

Long Standing Esophageal Perforation due to Foreign Body Impaction in Children: A Therapeutic Challenge in a Resource Limited Setting.

作者信息

Bernadette Ngo Nonga, Ze Jean Jacques, Pondy Angele O, Kalla Claude M, Kamgaing Nelly, Handy Eone Daniel

机构信息

Department of Surgery and Anesthesiology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Department of Medicine, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

出版信息

Case Rep Pediatr. 2017;2017:9208474. doi: 10.1155/2017/9208474. Epub 2017 Aug 8.

DOI:10.1155/2017/9208474

PMID:28929005

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5591923/

Abstract

Late presentation of foreign body impaction in the esophagus, complicated by perforation in children, has rarely been reported in the literature. Esophageal surgery is very difficult and challenging in Cameroon (a resource limited setting). We are reporting herein 2 cases of esophageal perforation in children seen very late (12 days and 40 days) after foreign body impaction, complicated with severe sepsis, who were successfully operated upon with very good results.

摘要

儿童食管异物嵌顿延迟就诊并伴有穿孔的情况在文献中鲜有报道。在喀麦隆（资源有限地区），食管手术极具难度和挑战性。我们在此报告2例儿童食管穿孔病例，他们在异物嵌顿后很晚（分别为12天和40天）才被发现，并发严重脓毒症，经手术成功治疗，效果良好。