Pulmonary injury following foreign body perforation of the esophagus: A case report

Mouhsin Ibba *, Hicham Fenane, Yassine Msougar

Department of Thoracic Surgery, University Hospital Mohammed VI, Marrakech, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(02), 1612–1615
Article DOI10.30574/wjarr.2024.22.2.1601
 
Publication history: 
Received on 10 April 2024 revised on 22 May 2024; accepted on 24 May 2024
 
Abstract: 
The ingestion of foreign bodies is a common emergency, particularly in children, but it can occur at any age. We report a case of 20-year-old patient with no medical history ingested a chicken bone during a meal, leading to unsuccessful endoscopic extraction at a local hospital. CT scanning revealed esophageal perforation at T4 level with erosion of the right pulmonary parenchyma near the azygos arch. A right posterolateral thoracotomy was performed, with successful removal of the bone fragment and closure of the esophageal perforation. Postoperative recovery was uneventful, and the patient discharged after 20 days and remaining stable at a 6-month follow-up. This case underscores the importance of prompt diagnosis and multidisciplinary management to prevent severe complications from foreign body ingestion.
 
Keywords: 
Esophagus; Foreign Body; Perforation; Surgery; Thoracotomy
 
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