Endoscopic treatment of esophageal perforation and paraesophageal abscess formation due to foreign body impaction

Özet

Although foreign bodies located in the esophagus are not frequently encountered, it is a problem that cancause serious morbidity and mortality, especially if a perforation has occurred. Flexible endoscopy is the preferred therapeutic option for removing foreign bodies in cases of perforation due to its high success rate and low risk of complications. Presently described is the case of a 65-year-old female who was admitted to thehospital with an impacted esophageal foreign body, which was revealed to be a meat bone that had perforatedthe esophageal wall, accompanied by a paraesophageal abscess formation. Flexible endoscopy was performed in the operating room under general anesthesia and the esophageal foreign body was gently removed with rat tooth forceps and a snare. Purulent abscess fluid was drained from the esophageal perforation siteand aspirated through the endoscope. The perforation site in the esophageal mucosa was about 1 centimeterin size and was closed with an endoscopic hemoclip. Perforation due to esophageal foreign bodies may leadto clinical conditions with serious mortality and morbidity. Endoscopic procedures performed by an experienced endoscopist may be appropriate in selected cases and avoid a major surgical operation.