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Traumatic esophageal perforation by a self bougienage
Eung-Soo Kim1, Jong-Yael Kang1, In-Soo Cho2
1Department of Thoracic and Cardiovascular Surgery, Hanil General Hospital, KEPCO Medical Foundation, Seoul, Republic of Korea.
Journal of Thoracic Disease
|June 16, 2017
Summary
A woman with a history of self-esophageal bougienage experienced a rare esophageal perforation using a makeshift tool. Prompt surgical repair and flap reinforcement were crucial for recovery from this unusual injury.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Medical Case Reports
Background:
- Esophageal perforation is a rare but life-threatening condition.
- Self-bougienage, a method for managing food impaction, carries inherent risks.
- This case highlights an unusual cause of esophageal injury.
Observation:
- A 75-year-old female presented with esophageal perforation.
- The injury was caused by a self-made bougie (a broken bough) used for self-treatment of food impaction.
- A large mediastinal abscess with food particles was identified.
Findings:
- The patient's thoracic esophagus was perforated by the foreign object.
- Surgical repair involved interrupted sutures.
- The repair was reinforced using a pedicled intercostal musculopleural flap.
Implications:
- This case underscores the potential dangers of non-medical interventions for esophageal issues.
- It emphasizes the importance of proper medical evaluation and treatment for food impaction.
- The successful surgical management demonstrates effective treatment for complex esophageal perforations.
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