| Autor: |
Conthe A; Aparato Digestivo, Hospital General Universitario Gregorio Marañón , Madrid., Payeras Otero I; Aparato Digestivo, Hospital General Universitario Gregorio Marañón., Pérez Gavín LA; Aparato Digestivo, Hospital General Universitario Gregorio Marañón., Baines García A; Aparato Digestivo, Hospital General Universitario Gregorio Marañón., Usón Peiron C; Aparato Digestivo, Hospital General Universitario Gregorio Marañón., Villaseca Gómez C; Aparato Digestivo, Hospital General Universitario Gregorio Marañón., Herrera Fajes JL; Aparato Digestivo, Hospital General Universitario Gregorio Marañón., Nogales Ó; Aparato Digestivo, Hospital General Universitario Gregorio Marañón . |
| Jazyk: |
angličtina |
| Zdroj: |
Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva [Rev Esp Enferm Dig] 2022 Nov; Vol. 114 (11), pp. 660-662. |
| DOI: |
10.17235/reed.2022.8537/2021 |
| Abstrakt: |
Esophageal fish bone impaction (EFBI) is a common reason for presentation in the emergency department and a frequent indication for urgent esophagogastroduodenoscopy (EGD). Although it is usually effectively diagnosed and treated by EGD, a confirmed diagnosis prior to the endoscopy is rare as blood tests, radiography and direct laryngoscopy are usually normal. We herein report three cases of EFBI. Two patients had been previously discharged without a correct diagnosis. In one case, the patient had a severe complication that required urgent surgery which could have probably been averted with an early diagnosis. Remarkably, a cervical CT scan was key to diagnose the EFBI in one case and a large retroesophageal abscess in another cases, thus guiding their management. Both patients that underwent an urgent EGD had a favorable outcome without the need for hospitalization. Therefore, meticulous anamnesis, adequate imaging and urgent EGD are key to treat patients with EFBI. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
