Esophageal foreign body with esophageal perforation

식도천공을 초래한 식도이물

The authors experienced an unusual case of esophageal foreign body with esophageal perforation. A 8-month-old boy swallowed a long (about 20 cm) thick (about 3mm in diameter) wire, which had a hooked end and the another straight. The hooked end was located at near the first esophageal narrowing with swelling on the left lateral neck and the another end was out of his mouth. As failure of complete removal of the foreign body with esophagoscopy, the hooked end was cut and removed with the lateral incision of the neck and the remainder was removed was removed with esophagoscopy. After removal of the foreign body, nothing was given by mouth and the patient feed through nasogastric tube for about 4 weeks and the perforated esophagus was healed completely without any other complication.

식도이물에 의한 식도천공은 날카로운 이물에 의한 예가 대부분이며 드물게 이물의 장기잔류에 의한다. 저자들은 8개월된 소아에서 한쪽 끝이 낚시모양으로 된 길이 20cm 굵기 3mm 정도의 철사를 연하하여 낚시 모양의 끝은 제1 식도협착부에서 식도를 천공하고 경부 좌측의 종창을 초래하였으며 철사의 반대쪽 끝은 입밖으로 나와 있는 흥미있는 식도이물 1례를 경 청하였다. 식도경검사하에서 이물제거를 시도하였으나 실패하여 경부절개하에 낚시모양의 끝은 잘라서 제거하고 나머지는 식도경검사하에 제거한 후 약 4주일동안 금식 및 tube feeding으로 치유되었다.