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Bedside ultrasound-guided water injection assists endoscopically treatment in esophageal perforation caused by foreign bodies: A case report

引用

World Journal of Gastrointestinal Surgery 2023年第6期15卷 1240-1246页

作者： Hua-Xing Wei Song-Yong Lv Bin Xia Kai Zhang Chen-Ke Pan Department of ultrasound The Fourth Affiliated Hospital of Zhejiang University College of MedicineYiwu 322200Zhejiang ProvinceChina Department of ultrasound Jinyun County People’s HospitalLishui 321400Zhejiang ProvinceChina

BACKGROUND Fishbone migration from the esophagus to the neck is relatively uncommon in clinical *** complications secondary to esophageal perforation after ingestion of a fishbone have been described in the ***,a fishbone is detected and diagnosed by imaging examination and is usually removed by a neck *** SUMMARY Herein,we report a case of a 76-year-old patient with a fishbone in the neck that had migrated from the esophagus and that was in close proximity to the common carotid artery,and the patient experienced *** endoscopically-guided neck incision was made over the insertion point in the esophagus,but the surgery failed due to having a blurred image at the insertion site during the *** injection of normal saline laterally to the fishbone in the neck under ultrasound guidance,the purulent fluid outflowed to the piriform recess along the sinus *** endoscopic guidance,the position of the fish bone was precisely located along the direction of liquid outflow,the sinus tract was separated,and the fish bone was *** the best of our knowledge,this is the first case report describing bedside ultrasound-guided water injection positioning combined with endoscopy in the treatment of a cervical esophageal perforation with an *** In conclusion,the fishbone could be located by the water injection method under the guidance of ultrasound and could be accurately located along the outflow direction of the purulent fluid of the sinus by the endoscope and was removed by incising the *** method can be a nonoperative treatment option for foreign body-induced esophageal perforation.

关键词： Esophageal perforation Foreign body removal Fishbone beside ultrasound-guided Endoscopy Case report

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