title: [Esophageal perforation and mediastinitis caused by fishbone ingestion: report of 3 cases].
abstract: We present 3 consecutive cases of fishbone perforation of the esophagus that resulted in acute mediastinitis. All patients were successfully managed with drainage and debridement of the mediastinum and pleural cavity. However, temporary exclusion with external ligation of the esophagus was also performed in one patient, with spontaneous recanalization two weeks later. We discuss the possible role of this surgical maneuver in the management of esophageal perforation.
authors.affiliation: Programa de Cirugía de Tórax y Cardiovascular, Hospital Nacional Dos de Mayo, Lima, Perú.
authors.forename: Julio C
authors.initials: JC
authors.lastname: Vásquez
authors.forename: Efraín
authors.initials: E
authors.lastname: Montesinos
authors.forename: Luis
authors.initials: L
authors.lastname: Castillo
authors.forename: Luis
authors.initials: L
authors.lastname: Rojas
authors.forename: Julio
authors.initials: J
authors.lastname: Peralta
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D004939:Esophageal Perforation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004945:Esophagoscopy; D004947:Esophagus / Q000293:injuries*; D005260:Female; D006801:Humans; D007813:Laparotomy; D008297:Male; D008480:Mediastinitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008482:Mediastinum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011859:Radiography; D013908:Thoracotomy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents