[A case of swallowed fish bone-induced esophageal perforation and mediastinitis treated with pedicled omental graft].
We experienced a case of 47-year-old man who suffered swallowed fish bone-induced esophageal perforation with purulent mediastinitis and underwent direct suture closure of the perforation and reinforcement with a pedicled parietal pleura four days after the onset. Postoperative esophageal suture insufficiency was occured and reoperation was performed two months after the first operation. The esophageal fistula was plugged with a pedicled omental graft successfully. The postoperative course of the patient was uneventful and he discharged 45 days after the second operation. A reinforcement by pedicled omental graft for esophageal rupture accompanied with mediastinitis was considered to be a useful procedure.
Masaki
H
H
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.
Inada
H
H
Murakami
T
T
Morita
I
I
Kanazawa
S
S
Fukuhiro
Y
Y
Tabuchi
A
A
Ishida
A
A
Kikugawa
D
D
Endou
K
K
Fujiwara
T
T
D000818:Animals; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D005399:Fishes; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D012086:Reoperation