Journal of echocardiography · 2014
Perforation of the hypopharynx after transesophageal echocardiography.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Onishi Takayuki, Onishi Yuko, Tachibana Keiko, Kasano Kensuke, Hachiya Shoko, Muramoto Hirotaka, Higuchi Koji, Suzuki Atsushi, Kobayashi Isshi, Umezawa Shigeo, Niwa Akihiro
Аннотация
A 65-year-old obese woman with an oversized neck and dysphagia underwent transesophageal echocardiography (TEE). The procedure was complicated by difficulty in insertion from the pharynx to esophagus, and her head and neck gradually swelled. Computed tomography (CT) revealed extensive emphysema from the neck to superior mediastinum, which suggested pharyngeal perforation. A nasogastric tube was inserted, and the patient received antibiotics to prevent secondary mediastinitis. CT performed 1 week later showed improvement of emphysema and no evidence of mediastinitis. Perforation along the orogastric pathway during TEE is a rare but life-threatening complication to which physicians performing TEE should pay attention.