title: Unexpected complication of oesophagoscopy: iatrogenic aortic injury in a child.
abstract: BACKGROUND
  Oesophagoscopy is usually a safe procedure to localise and remove ingested foreign bodies, however, unexpected complications may develop during this procedure. In this case report we discuss iatrogenic aortic injury, which developed during oesophagoscopy, and its immediate treatment.
  
  
  METHODS
  A six-year-old male patient was admitted to hospital with symptoms of having ingested a foreign body. Oesophagoscopy was carried out and the foreign body was visualised at the second constriction of the oesophagus. During this procedure, profuse bleeding occurred. Subsequently, a balloon dilator was placed to control bleeding in the oesophagus. Thoracic contrast tomography revealed thoracic aortic injury. Open surgical aortic repair was immediately carried out on the patient and the oesophageal hole was primarily repaired. The patient was discharged on postoperative day 15 with a total cure.
  
  
  CONCLUSIONS
  Although oesophagoscopy is a safe, easily applied method, it should be kept in mind that fatal complications may occur during the procedure. This procedure should be done in high-level medical centres, which have extra facilities for managing complications.
authors.affiliation: Department of Cardiovascular Surgery, Medical School of Dicle University, Diyarbakir, Turkey. Email: dr.orhantezcan@gmail.com.
authors.forename: Orhan
authors.initials: O
authors.lastname: Tezcan
authors.affiliation: Department of Chest Surgery, Medical School of Dicle University, Diyarbakir, Turkey.
authors.forename: Menduh
authors.initials: M
authors.lastname: Oruc
authors.affiliation: Department of Anesthesiology, Medical School of Dicle University, Diyarbakir, Turkey.
authors.forename: Mahir
authors.initials: M
authors.lastname: Kuyumcu
authors.affiliation: Department of Cardiovascular Surgery, Medical School of Dicle University, Diyarbakir, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Demirtas
authors.affiliation: Department of Cardiovascular Surgery, Medical School of Dicle University, Diyarbakir, Turkey.
authors.forename: Celal
authors.initials: C
authors.lastname: Yavuz
authors.affiliation: Department of Chest Surgery, Medical School of Dicle University, Diyarbakir, Turkey.
authors.forename: Oguz
authors.initials: O
authors.lastname: Karahan
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001027:Aortography / Q000379:methods; D021721:Balloon Occlusion; D002648:Child; D000072226:Computed Tomography Angiography; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004945:Esophagoscopy / Q000009:adverse effects*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D013536:Suture Techniques; D013908:Thoracotomy; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery