经食管超声心动图导致的Zenker憩室穿孔：一例极其罕见的危及生命的医源性并发症处理的病例报告

Zenker's diverticulum perforation due to transoesophageal echocardiography: Case report of the management of an extremely rare life-threatening iatrogenic complication.

作者信息

Terryn F-X, Stangherlin P, Mansvelt B

机构信息

Department of General Surgery, Hôpital de Jolimont, Haine-Saint-Paul, Belgium.

出版信息

Int J Surg Case Rep. 2020;72:294-297. doi: 10.1016/j.ijscr.2020.06.016. Epub 2020 Jun 11.

DOI:10.1016/j.ijscr.2020.06.016

PMID:32563815

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7306510/

Abstract

INTRODUCTION

Transoesophageal echocardiography is generally considered to be a safe monitoring and diagnostic tool. Even though the severe morbidity rate is relatively low and mortality rate exceptional, sometimes life-threatening events may occur during this procedure.

PRESENTATION OF CASE

We described the case of a 79-year-old woman with an extremely rare case of Zenker's diverticulum perforation following a transoesophageal echocardiography and its successful management with a 6 months follow-up.

DISCUSSION

Several specific endoscopic techniques have been described in the literature in case of Zenker's diverticulum and we believe the use of check lists should be implemented.

CONCLUSION

We hope that the documentation of this rare iatrogenic complication will remind the operators of this procedure to be aware of a documented Zenker's diverticulum and when necessary, to take the published precautions to prevent a highly severe complication.

摘要