Successful Medical Treatment for A Devastating Event-Esophageal Perforation by A Fish Bone: A Report of 2 Cases and Review of Literature

以內科方式成功治療因魚骨導致食道穿孔：兩病例報告

10.6314/JIMT.2017.28(6).07

李政祺(Cheng-Chi Lee)；黃仁杰(Jen-Chieh Huang)；辛政憲(Jeng-Shiann Shin)；何士奇(Shih-Chi Ho)

Esophageal perforation

內科學誌

28卷6期（2017 / 12 / 01）

372 - 376

英文

Esophageal perforation is a severe complication with a high mortality rate. According to previous reports, surgery has been the standard treatment of choice. However, medical treatment is now used more frequently due to improvements in nutritional therapy and the development of aggressive antibiotic treatment. In this report, we describe two uncommon cases in which esophageal perforation due to swallowed fish bones was successfully treated with conservative medical therapy, even though one of the cases was associated with an abscess within the mediastinum.

食道穿孔是嚴重的併發症且合併高死亡率，根據以往的報告，手術乃標準的治療方式，然而隨著抗生素及營養支持的進步，內科治療目前已逐漸被常使用。此篇病例報告中描述兩罕見病例（因吞食魚骨導致食道穿孔），並且成功以保守內科方式治療，其中一例甚至合併中膈腔化膿。