Unexpected complication of oesophagoscopy: iatrogenic aortic injury in a child

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Tarih

2016

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Clinics Cardive Publ Pty Ltd

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Introduction: Oesophagoscopy is usually a safe procedure to localise and remove ingested foreign bodies, however, unexpected complications may develop during this procedure. In this case report we discuss iatrogenic aortic injury, which developed during oesophagoscopy, and its immediate treatment. Case report: A six-year-old male patient was admitted to hospital with symptoms of having ingested a foreign body. Oesophagoscopy was carried out and the foreign body was visualised at the second constriction of the oesophagus. During this procedure, profuse bleeding occurred. Subsequently, a balloon dilator was placed to control bleeding in the oesophagus. Thoracic contrast tomography revealed thoracic aortic injury. Open surgical aortic repair was immediately carried out on the patient and the oesophageal hole was primarily repaired. The patient was discharged on postoperative day 15 with a total cure. Conclusion: Although oesophagoscopy is a safe, easily applied method, it should be kept in mind that fatal complications may occur during the procedure. This procedure should be done in high-level medical centres, which have extra facilities for managing complications.

Açıklama

Anahtar Kelimeler

Oesophagoscopy, Complication, Aortic Injury

Kaynak

Cardiovascular Journal of Africa

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

27

Sayı

3

Künye