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ID 46492
本文ファイル
著者
Chikuie, Emi
Fugisaki, Seiji
Fukuhara, Soutarou
Imaoka, Kouki
Hirata, Yuzo
Fukuda, Saburo
Takahashi, Mamoru
Sakai, Hiroshi
Sueshiro, Masafumi
Sakimoto, Hideto
キーワード
oesophageal perforation
fish bone
pericardial penetration and cardiac tamponade
NDC
医学
抄録(英)
An 82-year-old woman swallowed a fish bone and presented to our hospital 3 days later when she had breathing difficulty and became hypotensive. Chest computed tomography (CT) showed a linear structure with high bone density extending from the oesophagus into the pericardium, along with pericardial effusion, air, and a left pleural effusion. We diagnosed the patient with oesophageal perforation by a foreign body (a fish bone) leading to pericardial penetration, cardiac tamponade, and left empyema. The patient underwent emergency surgery. Pericardial fenestration and drainage of the pericardial and thoracic cavities were performed. Chest CT showed a recurrent abscess cavity in the pericardium on day 6. A pigtail catheter was placed in the recurrent abscess cavity under CT guidance for drainage. The patient gradually improved and was discharged after 5 months.
掲載誌名
Hiroshima Journal of Medical Sciences
67巻
2号
開始ページ
47
終了ページ
49
出版年月日
2018-06
出版者
Hiroshima University Medical Press
ISSN
0018-2052
2433-7668
NCID
出版者DOI
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
権利情報
Copyright (c) 2018 Hiroshima University Medical Press
関連情報URL
部局名
医歯薬保健学研究科
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