Appignani A, Trizzino V
Department of Pediatric Surgery, Bologna University, Italy.
Eur J Pediatr Surg. 1997 Feb;7(1):42-3. doi: 10.1055/s-2008-1071047.
The authors report a case of a two-year-old child with esophageal stricture -- caused first by caustic ingestion and by the end-to-end anastomosis, performed after the excision of the stenotic esophageal segment-- that required repeated dilations. These manouvres unfortunately led to bacteremia and a serious complication of a brain abscess, in the right fronto-parietal area, that was promptly removed. A few months later the child was subjected to an esophageal substitution with a colonic transposition. At present he is in good condition and the follow-up showed normal function of the neo-esophagus.
作者报告了一例两岁儿童食管狭窄的病例——最初由腐蚀性物质摄入引起,后在切除狭窄食管段后进行端端吻合术,该患儿需要反复扩张。遗憾的是,这些操作导致了菌血症以及右额顶叶区域的脑脓肿这一严重并发症,随后脑脓肿被及时切除。几个月后,该患儿接受了结肠移位食管替代术。目前他状况良好,随访显示新食管功能正常。