Abstract
Özet
39 yaşındaki kadın hasta polikliniğimize boğazda ağrı, yutkunma zorluğu şikâyeti ile başvurdu. Bir gün önce başka bir merkezde sol total lobektomi yapılmış olan hasta, operasyon sonrası ses kısıklığı, yutma güçlüğü, boğaz ağrısı olması üzerine polikliniğimizde görüldü. Yapılan kontrastlı özofagografide özofagokutanöz fistül ile uyumlu görüntü tespit edildi. Oral alım kesildi. 15 gün boyunca total parenteral beslenme ve antibiyotik tedavisi uygulandı. Hasta yatışının 17.gününde iyileşerek taburcu edildi. Perforasyon nedenini litaratürde araştırıldı. İatrojenik nedenlerin cerrahiden daha çok, başarısısız zor entübasyona bağlı geliştiği görüldü.
Anahtar sözcükler: Özofagus, perforasyon, tiroidektomi komplikasyonları
Abstract
A 39 years old female patient referred to the hospital with complaints of sore throat and swallow difficulty. The patient who had undergone left total lobectomy one day ago, referred to our outpatient clinic because of that hoarseness, swallow difficulty and sore throat were developed after the operation. On the performed contrasts esophagography, a image was detected which in accordant with esophagocutaneus fistule. Oral intake was stopped. The parenteral feeding and antibiotic terapy were administered for 15 day. The patient, with get better, was dischagred at the 17 days after admit. The cause of perforation was investigated in literature. It was observed that iatrogenic causes has been developing dependently on ineffective and difficult intubation rather than surgery.
Keywords: Esophagus, perforation, thyroidectomy complications
Keywords
References
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- Calık A. Kücüktulu V: Complications of 867 Thyroidectomies performed in a Region of endemic goiter in Turkey. Int. Surg, 1996; 81: 298-301.
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- Horn T, Pasche R, Kehtari R. Esophageal perforation in a fruitless attempt at endotracheal intubation. Rev Med Suisse Romande. 1993; 113: 909-15.
- Ahmed A, Aggarwal M, Watson E. Esophageal perforation: a complication of nasogastric tube placement. Am J Emerg Med. 1998; 16: 64-6.
- Branthwaite MA. An unexpected complication of the intubating laryngeal mask. Anaesthesia 1999; 54: 166-71.
- Eisen GM, Jowell PS. Esophageal perforation after ingestion of colon lavage solution. Am J Gastroenterology 1995; 90: 2074.
Abstract
39 yaşındaki kadın hasta polikliniğimize boğazda ağrı, yutkunma zorluğu şikâyeti ile başvurdu. Bir gün önce başka bir merkezde sol total lobektomi yapılmış olan hasta, operasyon sonrası ses kısıklığı, yutma güçlüğü, boğaz ağrısı olması üzerine polikliniğimizde görüldü. Yapılan kontrastlı özofagografide özofagokutanöz fistül ile uyumlu görüntü tespit edildi. Oral alım kesildi. 15 gün boyunca total parenteral beslenme ve antibiyotik tedavisi uygulandı. Hasta yatışının 17.gününde iyileşerek taburcu edildi. Perforasyon nedenini litaratürde araştırıldı. İatrojenik nedenlerin cerrahiden daha çok, başarısısız zor entübasyona bağlı geliştiği görüldü
References
- Kaplan EL. Thyroid and parathyroid. In: Schwartz SI. Edior. Principles of surgery. 5th edition. Paris: Mc Graw- Hill Book Company. 1988; 2. p: 1613-43.
- Calık A. Kücüktulu V: Complications of 867 Thyroidectomies performed in a Region of endemic goiter in Turkey. Int. Surg, 1996; 81: 298-301.
- Sayek I: Temel Cerrahi. Güneş Kitapevi Ltd. Şti, Ankara, 1996, p:1569-83.
- Domino KB, Posner KL, Caplan RA. Cheney FW Airway injury during anesthesia. Anesthesiology 1999; 91: 1703-11.
- Cameron JL, Kieffer RF, Hendrix TR, Mehigan DG, Bakehar RR. Selektitive nonoperative management of contained intrathoracic esophageal disruptions.Ann Thorac Surg 1979; 27: 404-8.
- Bufkin BL, Miller JL, Mansaur KA. Esophageal perforation:emphasis on management.Ann Thorac Surg 1996; 61: 1447-51.
- Altorjay A, Kiss J, Voros A, Bohak. A Nonoperative management of esophageal perforations. Is it justified? Ann Surg 1997; 225: 415-21.
- Practice guidelines for management of the difficult airway. A report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 1993; 78: 597-602.
- Sawyer R, Philips C, Vakil N. Short and long–term outcome esophageal perforation. Gastrointestinal Endoscopy 1995; 41: 130-35.
- Horn T, Pasche R, Kehtari R. Esophageal perforation in a fruitless attempt at endotracheal intubation. Rev Med Suisse Romande. 1993; 113: 909-15.
- Ahmed A, Aggarwal M, Watson E. Esophageal perforation: a complication of nasogastric tube placement. Am J Emerg Med. 1998; 16: 64-6.
- Branthwaite MA. An unexpected complication of the intubating laryngeal mask. Anaesthesia 1999; 54: 166-71.
- Eisen GM, Jowell PS. Esophageal perforation after ingestion of colon lavage solution. Am J Gastroenterology 1995; 90: 2074.
Details
| Primary Language | tur |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 11, 2010 |
| Published in Issue | Year 2010Volume: 32 Issue: 1 |