[Case of esophageal foreign body complicated by mediastinitis and broncho-esophageal fistula].
Authors describe the case of esophageal perforation in 85-year woman ended with good outcome. The patient was admitted to our ward with suspicion of foreign body in esophagus and the clinical manifestation of early stage mediastinitis. We resigned esophageal perforation debridement because of the old age and patient's poor general condition. Conservative treatment was administrated during a long period including high-doses of antibiotics and nutritional support. In the third week of patient's admission mediastinitis was cured but esophageal radiograms showed the bronchoesophageal fistula on the left side. There were no signs of self-existent closure of fistula. The patient was sent to the Thoracic Surgery Ward of John Paul Hospital in Cracow where the performance of thoracotomy was used as surgical treatment. Closure of fistula made that our patient was able to return to normal life.
Oddział Laryngologii Wojewódzkiego Szpitala Specjalistycznego w Olsztynie.
Monika
M
Tywończuk-Szulc
Bogdan
B
Kibiłda
Tomasz
T
Bujnowski
D000368:Aged; D000369:Aged, 80 and over; D001983:Bronchial Fistula / Q000209:etiology* / Q000601:surgery; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery; D004947:Esophagus; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D008480:Mediastinitis / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome