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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 8(2); 1965 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1965;8(2): 23-5.
A Case of Perforation of the Esophagus Accompained with Mediastinal Abscess and Pyothorax
Choon Yul Rim, MD (Director : Prof. Hi Chun Choi, MD)
Department of Otolaryngology, Chonnam University Medical School, Korea
食道穿孔, 急性化膿性縱隔竇炎 및 膿胸을 倂發한 食道異物의 一部檢例
林春悅 (指導 : 崔熙千 敎授)
全南大學校 醫科大學 耳鼻咽喉科學敎室

14 year old girl was admitted to the hospital with complaints of dysphagia, odynophagia, dyspnea and swelling of the left cervical region after swallowing a fish bone one week prior to this admission. The fish bone was removed from the cervical esophagus with esophageal forceps through the esophagoscope. A perforation was demonstrated on the left lateral wall of the cervical esophagus, from which about 5cc of thick yellowish pus was drained. Patient’s general condition was deteriorated gradually with severe dyspnea. Chest x-ray revealed cardiomegaly, multiple irregular densities in both upper lobes and widening of mediastinum. Coller’s mediastinotomy was performed on the third hospital day and the patient expired on the second day of the operation. Autopsy revealed mediastinal abscess around both esophagus and trachea, hydropyothorax (400cc), acute pericarditis (60cc) and atelectasis of both lungs.

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