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A Case of Hypopharynx Perforation After Esophagogastroscopy
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We report a case of endoscopic and open surgical treatment for iatrogenic perforation in thehypopharynx, a rare but potentially fatal complication of esophagogastroduodenoscopy. Thepatient was a 55-year-old female who exhibited strong resistance during passing through hypopharynx, leading to the suspicion of perforation, which was confirmed by CT scan andesophagography. Conservative management was attempted with antibiotics and prohibition oforal intake for 2 months, but she experienced worsening discomfort in the neck and was eventually readmitted for surgical treatment. The patient was treated with endoscopic mucosal repair and open surgery with regional flap. With the hypopharynx perforation healed, the patientwas able to resume regular diet after a week and was discharged. Hypopharyngeal perforationthat did not improve with long-term conservative treatment can be successfully treated throughopen surgery using a flap.
Abstract
We report a case of endoscopic and open surgical treatment for iatrogenic perforation in thehypopharynx, a rare but potentially fatal complication of esophagogastroduodenoscopy. Thepatient was a 55-year-old female who exhibited strong resistance during passing through hypopharynx, leading to the suspicion of perforation, which was confirmed by CT scan andesophagography. Conservative management was attempted with antibiotics and prohibition oforal intake for 2 months, but she experienced worsening discomfort in the neck and was eventually readmitted for surgical treatment. The patient was treated with endoscopic mucosal repair and open surgery with regional flap. With the hypopharynx perforation healed, the patientwas able to resume regular diet after a week and was discharged. Hypopharyngeal perforationthat did not improve with long-term conservative treatment can be successfully treated throughopen surgery using a flap.
참고문헌 (11)
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