title: [A case of swallowed fish bone-induced esophageal perforation and mediastinitis treated with pedicled omental graft].
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Masaki
authors.forename: H
authors.initials: H
authors.lastname: Inada
authors.forename: T
authors.initials: T
authors.lastname: Murakami
authors.forename: I
authors.initials: I
authors.lastname: Morita
authors.forename: S
authors.initials: S
authors.lastname: Kanazawa
authors.forename: Y
authors.initials: Y
authors.lastname: Fukuhiro
authors.forename: A
authors.initials: A
authors.lastname: Tabuchi
authors.forename: A
authors.initials: A
authors.lastname: Ishida
authors.forename: D
authors.initials: D
authors.lastname: Kikugawa
authors.forename: K
authors.initials: K
authors.lastname: Endou
authors.forename: T
authors.initials: T
authors.lastname: Fujiwara
mesh_terms: 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