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Case Reports
[A case of swallowed fish bone-induced esophageal perforation and mediastinitis treated with pedicled omental graft].
- H Masaki, H Inada, T Murakami, I Morita, S Kanazawa, Y Fukuhiro, A Tabuchi, A Ishida, D Kikugawa, K Endou, and T Fujiwara.
- Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.
- Kyobu Geka. 1996 May 1;49(5):376-9.
AbstractWe experienced a case of 47-year-old man who suffered swallowed fish bone-induced esophageal perforation with purulent mediastinitis and underwent direct suture closure of the perforation and reinforcement with a pedicled parietal pleura four days after the onset. Postoperative esophageal suture insufficiency was occured and reoperation was performed two months after the first operation. The esophageal fistula was plugged with a pedicled omental graft successfully. The postoperative course of the patient was uneventful and he discharged 45 days after the second operation. A reinforcement by pedicled omental graft for esophageal rupture accompanied with mediastinitis was considered to be a useful procedure.
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