Endoscopic mucosal incision for successful treatment of submucosal abscess extending the full length of the esophagus due to fish bone: report of a case

详细信息    查看全文

• 作者：Shinsuke Takeno (1) (2)
  Toshihiko Moroga (2)
  Kiyoshi Ono (2)
  Katsunobu Kawahara (2)
  Takashi Hirano (3)
  Munehito Moriyama (3)
  Masashi Suzuki (3)
  Kenji Maki (1)
  Ippei Yamana (1)
  Tatsuya Hashimoto (1)
  Ryosuke Shibata (1)
  Masayasu Naito (1)
  Hironari Shiwaku (1)
  Takamitsu Sasaki (1)
  Yoichiro Yoshida (1)
  Yuichi Yamashita (1)
  
  1. Department of Gastroenterological Surgery ; Faculty of Medicine ; Fukuoka University ; Nanakuma 7-45-1 ; Johnan-ku ; Fukuoka City ; Fukuoka ; 814-0180 ; Japan
  2. Department of Surgery II ; Faculty of Medicine ; Oita University ; Oita ; Japan
  3. Department of Otolaryngology ; Faculty of Medicine ; Oita University ; Oita ; Japan
  
• 关键词：Submucosal abscess ; Esophagus ; Endoscopic mucosal incision
• 刊名：Esophagus
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：12
• 期：2
• 页码：199-202
• 全文大小：708 KB
• 参考文献：1. Ero臒lu, A, K眉rk莽眉o臒lu, C, Karao臒lano臒lu, N, Yilmaz, O, G眉rsan, N (2002) Esophageal tuberculosis abscess: an unusual cause of dysphagia. Dis Esophagus 15: pp. 93-95 CrossRef
  2. Lee, KH, Kim, HJ, Kim, KH, Kim, HG (2003) Esophageal tuberculosis manifesting as submucosal abscess. AJR Am J Roentgenol 180: pp. 1482-1483 CrossRef
  3. Kunishige, H, Myojin, K, Ishibashi, Y, Ishii, K, Kawasaki, M, Oka, J (2008) Perforation of the esophagus by a fish bone leading to an infected pseudoaneurysm of the thoracic aorta. Gen Thorac Cardiovasc Surg 56: pp. 427-429 CrossRef
  4. Macchi, V, Porzionato, A, Bardini, R, Parenti, A, Caro, R (2008) Rupture of ascending aorta secondary to esophageal perforation by fish bone. J Forensic Sci 53: pp. 1181-1184 CrossRef
  5. Nozoe, T, Kitamura, M, Adachi, Y, Funahashi, S, Yoh, R, Iso, Y, Matsumata, T, Sugimachi, K (1998) Successful conservative treatment for esophageal perforation by a fish bone associated with mediastinitis. Hepatogastroenterology 45: pp. 2190-2192
  6. Nishimaki, T, Ono, K, Tada, T, Hatakeyama, K (2001) Successful primary reinforced repair of esophageal perforation using a pedicled omental graft through a transhiatal approach. Dis Esophagus 14: pp. 155-158 CrossRef
  7. Katsetos, MC, Tagbo, AC, Lindberg, MP, Rosson, RS (2003) Esophageal perforation and mediastinitis from fish bone ingestion. South Med J 96: pp. 516-520 CrossRef
  8. Chen, CY, Peng, JP (2011) Esophageal fish bone migration induced thyroid abscess: case report and review of the literature. Am J Otolaryngol 32: pp. 253-255 CrossRef
  9. Das, D, May, G (2007) Best evidence topic report. Is CT effective in cases of upper oesophageal fish bone ingestion?. Emerg Med J 24: pp. 48-49 CrossRef
  10. Koike, J, Matsushima, M, Teraoka, H, Igarashi, M, Deguchi, R, Suzuki, T, Shirai, T, Mine, T (2010) A case of submucosal hematoma of the esophagus and stomach, possibly caused by fish bone ingestion. Tokai J Exp Clin Med 35: pp. 46-56
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gastroenterology
  Pathology
  Thoracic Surgery
  Surgical Oncology
  Oncology
  
• 出版者：Springer Japan
• ISSN：1612-9067

文摘

Submucosal abscess of the esophagus is extremely rare, and treatment has yet to be well established. A 58-year-old man with no relevant past medical history visited an otolaryngological clinic with a chief complaint of throat irritation. Computed tomography revealed submucosal abscess extending the full length of the esophagus after abnormally high white blood cell count and C-reactive protein levels were noted. A fish bone was removed surgically via the right side of the neck, and the submucosal abscess was drained by endoscopic mucosal incision. Oral intake was started on postoperative day 10 and the patient was discharged without any complications. Endoscopic submucosal incision is a useful and less-invasive therapy for treating esophageal submucosal abscess.