Unexpected complication of oesophagoscopy: iatrogenic aortic injury in a child
Oesophagoscopy is usually a safe procedure to localise and remove ingested foreign bodies, however, unexpected complications may develop during this procedure. In this case report we discuss iatrogenic aortic injury, which developed during oesophagoscopy, and its immediate treatment. A six-year-old...
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| Veröffentlicht in: | Cardiovascular Journal of Africa 2016-06, Vol.27 (3), p.e15-e17 |
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| container_title | Cardiovascular Journal of Africa |
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| creator | Tezcan, Orhan Oruc, Menduh Kuyumcu, Mahir Demirtas, Sinan Yavuz, Celal Karahan, Oguz |
| description | Oesophagoscopy is usually a safe procedure to localise and remove ingested foreign bodies, however, unexpected complications may develop during this procedure. In this case report we discuss iatrogenic aortic injury, which developed during oesophagoscopy, and its immediate treatment.
A six-year-old male patient was admitted to hospital with symptoms of having ingested a foreign body. Oesophagoscopy was carried out and the foreign body was visualised at the second constriction of the oesophagus. During this procedure, profuse bleeding occurred. Subsequently, a balloon dilator was placed to control bleeding in the oesophagus. Thoracic contrast tomography revealed thoracic aortic injury. Open surgical aortic repair was immediately carried out on the patient and the oesophageal hole was primarily repaired. The patient was discharged on postoperative day 15 with a total cure.
Although oesophagoscopy is a safe, easily applied method, it should be kept in mind that fatal complications may occur during the procedure. This procedure should be done in high-level medical centres, which have extra facilities for managing complications. |
| doi_str_mv | 10.5830/CVJA-2016-015 |
| format | Article |
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A six-year-old male patient was admitted to hospital with symptoms of having ingested a foreign body. Oesophagoscopy was carried out and the foreign body was visualised at the second constriction of the oesophagus. During this procedure, profuse bleeding occurred. Subsequently, a balloon dilator was placed to control bleeding in the oesophagus. Thoracic contrast tomography revealed thoracic aortic injury. Open surgical aortic repair was immediately carried out on the patient and the oesophageal hole was primarily repaired. The patient was discharged on postoperative day 15 with a total cure.
Although oesophagoscopy is a safe, easily applied method, it should be kept in mind that fatal complications may occur during the procedure. This procedure should be done in high-level medical centres, which have extra facilities for managing complications.</description><identifier>ISSN: 1995-1892</identifier><identifier>EISSN: 1680-0745</identifier><identifier>DOI: 10.5830/CVJA-2016-015</identifier><identifier>PMID: 27841896</identifier><language>eng</language><publisher>South Africa: Clinics Cardive Publishing</publisher><subject>Aorta, Thoracic - diagnostic imaging ; Aorta, Thoracic - injuries ; Aorta, Thoracic - surgery ; Aortography - methods ; Balloon Occlusion ; Cardiovascular Topics ; Child ; Computed Tomography Angiography ; Esophageal Perforation - diagnostic imaging ; Esophageal Perforation - etiology ; Esophageal Perforation - surgery ; Esophagoscopy - adverse effects ; Foreign Bodies - diagnostic imaging ; Foreign Bodies - surgery ; Hemorrhage - etiology ; Humans ; Iatrogenesis ; Iatrogenic Disease ; Male ; Suture Techniques ; Thoracotomy ; Treatment Outcome ; Vascular System Injuries - diagnostic imaging ; Vascular System Injuries - etiology ; Vascular System Injuries - surgery</subject><ispartof>Cardiovascular Journal of Africa, 2016-06, Vol.27 (3), p.e15-e17</ispartof><rights>Copyright © 2015 Clinics Cardive Publishing. This work is licensed under the Creative Commons Attribution License (https://creativecommons.org/licenses/by/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2015 Clinics Cardive Publishing 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-a92f72763ae62fa656540e47cbf66514221fc0a53f90da49b1b4df226695667e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5101516/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5101516/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27841896$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tezcan, Orhan</creatorcontrib><creatorcontrib>Oruc, Menduh</creatorcontrib><creatorcontrib>Kuyumcu, Mahir</creatorcontrib><creatorcontrib>Demirtas, Sinan</creatorcontrib><creatorcontrib>Yavuz, Celal</creatorcontrib><creatorcontrib>Karahan, Oguz</creatorcontrib><title>Unexpected complication of oesophagoscopy: iatrogenic aortic injury in a child</title><title>Cardiovascular Journal of Africa</title><addtitle>Cardiovasc J Afr</addtitle><description>Oesophagoscopy is usually a safe procedure to localise and remove ingested foreign bodies, however, unexpected complications may develop during this procedure. In this case report we discuss iatrogenic aortic injury, which developed during oesophagoscopy, and its immediate treatment.
A six-year-old male patient was admitted to hospital with symptoms of having ingested a foreign body. Oesophagoscopy was carried out and the foreign body was visualised at the second constriction of the oesophagus. During this procedure, profuse bleeding occurred. Subsequently, a balloon dilator was placed to control bleeding in the oesophagus. Thoracic contrast tomography revealed thoracic aortic injury. Open surgical aortic repair was immediately carried out on the patient and the oesophageal hole was primarily repaired. The patient was discharged on postoperative day 15 with a total cure.
Although oesophagoscopy is a safe, easily applied method, it should be kept in mind that fatal complications may occur during the procedure. This procedure should be done in high-level medical centres, which have extra facilities for managing complications.</description><subject>Aorta, Thoracic - diagnostic imaging</subject><subject>Aorta, Thoracic - injuries</subject><subject>Aorta, Thoracic - surgery</subject><subject>Aortography - methods</subject><subject>Balloon Occlusion</subject><subject>Cardiovascular Topics</subject><subject>Child</subject><subject>Computed Tomography Angiography</subject><subject>Esophageal Perforation - diagnostic imaging</subject><subject>Esophageal Perforation - etiology</subject><subject>Esophageal Perforation - surgery</subject><subject>Esophagoscopy - adverse effects</subject><subject>Foreign Bodies - diagnostic imaging</subject><subject>Foreign Bodies - surgery</subject><subject>Hemorrhage - etiology</subject><subject>Humans</subject><subject>Iatrogenesis</subject><subject>Iatrogenic Disease</subject><subject>Male</subject><subject>Suture Techniques</subject><subject>Thoracotomy</subject><subject>Treatment Outcome</subject><subject>Vascular System Injuries - diagnostic imaging</subject><subject>Vascular System Injuries - etiology</subject><subject>Vascular System Injuries - surgery</subject><issn>1995-1892</issn><issn>1680-0745</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkb1PwzAQxS0EolAYWVEkFpaA7dhOzIBUVXyqgoWyWq5jt67SONgJov89jloqYHqnu5-e7u4BcIbgFS0yeD1-fx6lGCKWQkT3wBFiBUxhTuh-rDmnKSo4HoDjEJYQYlzk9BAMcF6Q2GdH4GVa669Gq1aXiXKrprJKttbViTOJ08E1Czl3QblmfZNY2Xo317VViXS-jWLrZefXURKZqIWtyhNwYGQV9OlWh2B6f_c2fkwnrw9P49EkVQTRNpUcmxznLJOaYSMZZZRATXI1M4xRRDBGRkFJM8NhKQmfoRkpDcaMccpYrrMhuN34Nt1spUul69bLSjTerqRfCyet-Dup7ULM3aegKL4JsWhwuTXw7qPToRUrG5SuKllr1wWBiowjmFPeoxf_0KXrfB3PE4jTDHNOogxBuqGUdyF4bXbLICj6pESflOiTEnGFyJ__vmBH_0STfQNtnY79</recordid><startdate>20160623</startdate><enddate>20160623</enddate><creator>Tezcan, Orhan</creator><creator>Oruc, Menduh</creator><creator>Kuyumcu, Mahir</creator><creator>Demirtas, Sinan</creator><creator>Yavuz, Celal</creator><creator>Karahan, Oguz</creator><general>Clinics Cardive Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160623</creationdate><title>Unexpected complication of oesophagoscopy: iatrogenic aortic injury in a child</title><author>Tezcan, Orhan ; Oruc, Menduh ; Kuyumcu, Mahir ; Demirtas, Sinan ; Yavuz, Celal ; Karahan, Oguz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-a92f72763ae62fa656540e47cbf66514221fc0a53f90da49b1b4df226695667e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aorta, Thoracic - diagnostic imaging</topic><topic>Aorta, Thoracic - injuries</topic><topic>Aorta, Thoracic - surgery</topic><topic>Aortography - methods</topic><topic>Balloon Occlusion</topic><topic>Cardiovascular Topics</topic><topic>Child</topic><topic>Computed Tomography Angiography</topic><topic>Esophageal Perforation - diagnostic imaging</topic><topic>Esophageal Perforation - etiology</topic><topic>Esophageal Perforation - surgery</topic><topic>Esophagoscopy - adverse effects</topic><topic>Foreign Bodies - diagnostic imaging</topic><topic>Foreign Bodies - surgery</topic><topic>Hemorrhage - etiology</topic><topic>Humans</topic><topic>Iatrogenesis</topic><topic>Iatrogenic Disease</topic><topic>Male</topic><topic>Suture Techniques</topic><topic>Thoracotomy</topic><topic>Treatment Outcome</topic><topic>Vascular System Injuries - diagnostic imaging</topic><topic>Vascular System Injuries - etiology</topic><topic>Vascular System Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tezcan, Orhan</creatorcontrib><creatorcontrib>Oruc, Menduh</creatorcontrib><creatorcontrib>Kuyumcu, Mahir</creatorcontrib><creatorcontrib>Demirtas, Sinan</creatorcontrib><creatorcontrib>Yavuz, Celal</creatorcontrib><creatorcontrib>Karahan, Oguz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cardiovascular Journal of Africa</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tezcan, Orhan</au><au>Oruc, Menduh</au><au>Kuyumcu, Mahir</au><au>Demirtas, Sinan</au><au>Yavuz, Celal</au><au>Karahan, Oguz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unexpected complication of oesophagoscopy: iatrogenic aortic injury in a child</atitle><jtitle>Cardiovascular Journal of Africa</jtitle><addtitle>Cardiovasc J Afr</addtitle><date>2016-06-23</date><risdate>2016</risdate><volume>27</volume><issue>3</issue><spage>e15</spage><epage>e17</epage><pages>e15-e17</pages><issn>1995-1892</issn><eissn>1680-0745</eissn><abstract>Oesophagoscopy is usually a safe procedure to localise and remove ingested foreign bodies, however, unexpected complications may develop during this procedure. In this case report we discuss iatrogenic aortic injury, which developed during oesophagoscopy, and its immediate treatment.
A six-year-old male patient was admitted to hospital with symptoms of having ingested a foreign body. Oesophagoscopy was carried out and the foreign body was visualised at the second constriction of the oesophagus. During this procedure, profuse bleeding occurred. Subsequently, a balloon dilator was placed to control bleeding in the oesophagus. Thoracic contrast tomography revealed thoracic aortic injury. Open surgical aortic repair was immediately carried out on the patient and the oesophageal hole was primarily repaired. The patient was discharged on postoperative day 15 with a total cure.
Although oesophagoscopy is a safe, easily applied method, it should be kept in mind that fatal complications may occur during the procedure. This procedure should be done in high-level medical centres, which have extra facilities for managing complications.</abstract><cop>South Africa</cop><pub>Clinics Cardive Publishing</pub><pmid>27841896</pmid><doi>10.5830/CVJA-2016-015</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Cardiovascular Journal of Africa, 2016-06, Vol.27 (3), p.e15-e17 |
| issn | 1995-1892 1680-0745 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Aorta, Thoracic - diagnostic imaging Aorta, Thoracic - injuries Aorta, Thoracic - surgery Aortography - methods Balloon Occlusion Cardiovascular Topics Child Computed Tomography Angiography Esophageal Perforation - diagnostic imaging Esophageal Perforation - etiology Esophageal Perforation - surgery Esophagoscopy - adverse effects Foreign Bodies - diagnostic imaging Foreign Bodies - surgery Hemorrhage - etiology Humans Iatrogenesis Iatrogenic Disease Male Suture Techniques Thoracotomy Treatment Outcome Vascular System Injuries - diagnostic imaging Vascular System Injuries - etiology Vascular System Injuries - surgery |
| title | Unexpected complication of oesophagoscopy: iatrogenic aortic injury in a child |
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