| Autor: |
Takahashi Katsumi, Masahiko Tsurumaru, Yoshimasa Ono, Mitsuru Hara, Harushi Udagawa, Takuzo Kataoka, Goro Watanabe, Masatoshi Suzuki, Masamitsu Unagami, Hiroshi Akiyama, Kiyoshi Kawashima |
| Rok vydání: |
1985 |
| Předmět: |
|
| Zdroj: |
The journal of the Japanese Practical Surgeon Society. 46:83-90 |
| ISSN: |
0386-9776 |
| DOI: |
10.3919/ringe1963.46.83 |
| Popis: |
Though nasogastric intubation has been pointed out as a cause of benign acquired esophageal stenosis, no report of complete obstruction can be found. This is the first report of complete esophageal obstruction probably due to this intubation. A 19-year-old girl accidentally stabbed herself with chopsticks in the upper cervical esophagus. Two hours later, she was brought to a hospital for severe dyspnea caused by huge retropharyngeal emphysema. This ruptured into the right pleural cavity and she had an emergency drainage operation. The nasogastric tube was left indwelling for 6 days after the operation. The patient was then transferred to Toranomon Hospital, and her esophagus, which was found completely obstructed in the lower half, was successfully resected and reconstructed. Histological examination showed the cause of the esophageal obstruction to be circular detachment of the mucosa due to acute superficial inflammation and postinflammatory healing process. The constitutional factors were also suspected, because her incisional wounds became hypertrophic scar and she developed early postoperative bowel obstruction due to excessive adhesion. Though this case seems to be a very rare one in which several unfavorable factors coincided, each factor alone is not uncommon. From this point of view, precautions to take during nasogastric intubation are discussed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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