Diagnosis and management decision in delayed posterior mediastinal abscess secondary to thoracic esophageal perforation following accidental fish bone ingestion

Raja Lope Ahmad, Raja Ahmad Al'konee and Wan Leman, Wan Ishlah and Mohamad Hashim, Shaharudin and K.S, Sathananthar and Kamarudin, Norie Azilah (2006) Diagnosis and management decision in delayed posterior mediastinal abscess secondary to thoracic esophageal perforation following accidental fish bone ingestion. In: 40th Malaysia - Singapore Congress of Medicine, 24th to 27th August 2006, Sunway Pyramid Convention Centre, Petaling Jaya, Malaysia. (Unpublished)

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Abstract

Accidental swallowing of fish bone, which arrested in either the cervical or thoracic esophagus, is fairly common. However, the incidence of esophageal perforation due this fish bone is low. Delayed posterior mediastinal abscess as a result of the esophageal perforation is a rare manifestation and may leads to fatal outcome. Two cases of delayed formation of posterior mediastinal abscess following thoracic esophageal perforation due to accidental fish bone ingestion are described in this presentation. In both cases the sole clinical feature is interscapular back pain. In one of the cases the patient died because of the presentation was misdiagnosed hence delayed intervention. The clinical presentations, radiological findings and surgical management are discussed. Neck exploration and esophagoscopy as the surgical treatment for this problem are illustrated. Key words: esophageal perforation, posterior mediastinal abscess

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	3641/23270
Uncontrolled Keywords:	esophageal perforation, posterior mediastinal abscess
Subjects:	R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Depositing User:	Dr Raja Ahmad Al'Konee Raja Lope Ahmad
Date Deposited:	23 May 2012 10:01
Last Modified:	23 May 2012 10:01
URI:	http://irep.iium.edu.my/id/eprint/23270

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