ESOPHAGEAL PERFORATION FOLLOWING OROGASTRIC SUCTION CATHETER INSERTION IN AN ELDERLY PATIENT.

Middle East Journal of Anesthesiology Pub Date : 2015-02-01

Roland N Kaddoum, Fadi Farah, Rita W Saroufim, Salah M Zeineldine

引用次数: 0

Abstract

Esophageal rupture has been described following iatrogenic manipulation. In this report, we present an elderly lady admitted to the operative theater for laparoscopic cholecystectomy. Multiple intra-operative attempts to place a flexible orogastric tube were unsuccessful because of failure to advance. Post-operatively, the patient developed sepsis and a right pleural effusion. She was transferred to the Intensive Care Unit and she was treated with antibiotics. Radiologic evaluation confirmed an esophago-pleural fistula. Surgical repair was urgently performed for closure of fistula and lung decortication. The patient recovered and was discharged home.

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老年患者口胃吸引管插入后食管穿孔1例。

经医源性操作后发生食管破裂。在这个报告中，我们提出一位老年妇女住进手术室腹腔镜胆囊切除术。术中多次尝试放置柔性胃管，由于未能推进而失败。术后，患者出现脓毒症和右侧胸腔积液。她被转移到重症监护室，并接受了抗生素治疗。影像学检查证实为食管胸膜瘘。紧急手术修复瘘口闭合及肺去皮。病人痊愈出院回家了。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Middle East Journal of Anesthesiology Medicine-Anesthesiology and Pain Medicine

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： The journal is published three times a year (February, June, and October) and has an Editorial Executive Committee from the department and consultant editors from various Arab countries. A volume consists of six issues. Presently, it is in its 42nd year of publication and is currently in its 19th volume. It has a worldwide circulation and effective March 2008, the MEJA has become an electronic journal. The main objective of the journal is to act as a forum for publication, education, and exchange of opinions, and to promote research and publications of the Middle Eastern heritage of medicine and anesthesia.