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Esophageal perforation caused by a press through pack.
1Department of Surgery, Kurume University School of Medicine, Kurume-city, Fukuoka, Japan.
Summary
A swallowed Press Through Pack (PTP) caused an esophageal ulcer and perforation in a 73-year-old woman. Endoscopic removal of the PTP led to recovery, though the perforation persisted long-term.
Area of Science:
- Gastroenterology
- Esophageal Diseases
- Medical Imaging
Background:
- Esophageal foreign bodies are uncommon but can lead to serious complications.
- Press Through Packs (PTPs) are a potential source of ingested foreign bodies.
Observation:
- A 73-year-old female presented with hoarseness and was diagnosed with an esophageal foreign body.
- Imaging revealed a PTP lodged in an esophageal ulcer in the upper thoracic region.
- The patient experienced sudden hoarseness 17 days prior to hospital visit.
Findings:
- Endoscopic and CT imaging confirmed an esophageal foreign body (PTP) causing an ulcer.
- The PTP was successfully removed endoscopically.
- The patient recovered sufficiently to eat normally within two months post-procedure.
- A significant esophageal perforation, resembling a diverticulum, remained over a year later.
Implications:
- Endoscopic foreign body retrieval is a viable treatment for PTP-induced esophageal complications.
- Delayed diagnosis of esophageal foreign bodies can lead to severe outcomes like perforation.
- Long-term monitoring may be necessary for esophageal perforations even after foreign body removal.