Interesting case of esophageal perforation due to foreign body

Padam Kumar Bhawarlal; Gnanasekar Murugaiyan; Saravana Krishna Raj; Mohan Venkataraman; Jeykumar Thirukonda; Pranesh Ravichandran

doi:10.4103/japt.japt_37_21

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CASE REPORT

Year : 2021 \| Volume : 4 \| Issue : 3 \| Page : 119-121

Interesting case of esophageal perforation due to foreign body Padam Kumar Bhawarlal¹, Gnanasekar Murugaiyan², Saravana Krishna Raj³, Mohan Venkataraman⁴, Jeykumar Thirukonda⁵, Pranesh Ravichandran⁶ ¹ Department of General and Gastro surgery, Billroth Hospital, Chennai, Tamil Nadu, India ² Department of Surgical Gastroenterology, Royapettah Government Hospital, Chennai, Tamil Nadu, India ³ Department of Cardiothoracic Surgery, Madras Medical College, Chennai, Tamil Nadu, India ⁴ Department of Respiratory Medicine, Billroth Hospital, Chennai, Tamil Nadu, India ⁵ Department of Cardiology, Stanley Medical College, Chennai, Tamil Nadu, India ⁶ Department of Anesthesia and Critical Care, Billroth Hospital, Chennai, Tamil Nadu, India Correspondence Address: Mohan Venkataraman Department of Respiratory Medicine, Billroth Hospital, Chennai, Tamil Nadu India Source of Support: None, Conflict of Interest: None DOI: 10.4103/japt.japt_37_21

A 75 year old gentleman, who is a chronic heavy smoker and edentulous person who used to swallow his food rather than proper mastication, presented with chest pain and dysphagia. CT scan revealed foreign body penetrating the oesophagus and invading the mediastinum leading to a mediastinal collection. Upper gastrointestinal endoscopy to remove the foreign body was not successful, and hence open surgery was done by specialist in thoracic and surgical Gastroenterology. The foreign body was removed successfully and treated with appropriate antibiotics. Patient was discharged home as per plan and followed up in out patient clinic. He has been keeping well.



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