Endoscopic Vacuum Therapy for Esophageal Perforation Treatment after Foreign Body Ingestion: Resolution after a Single Session

摘要

A 70-year-old man was admitted to the EmergencyDepartment due to chest pain after foreign body ingestion(chicken bone) 5 days before. He mentioned havingfever but denied other symptoms. Chest computed tomography(CT) scan revealed in the thoracic esophagus,in the same plane as the left atrium, a linear and denseobject 30 mm in size, with signs of esophageal perforationand presence of an adjacent collection (23 × 31× 61 mm) (Fig.?1). Following multidisciplinary discussion,it was decided to remove the foreign body andclose the esophageal defect endoscopically. Upper endoscopywas performed (online suppl. Video; see www.karger.com/doi/10.1159/000503011) and confirmed thepresence of a bone penetrating the esophageal wall, 32cm from the incisors (Fig.?2).