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Perforation of the piriform recessus by a swallowed glass splinter presenting as pneumomediastinum in a child

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Abstract

The swallowing of sharp glass splinters is rare due to the difficulty of swallowing such objects, and perforation of the piriform recessus and mediastinitis are unusual complications. Perforation of the piriform recessus due to a swallowed sharp glass splinter requires prompt treatment. This report describes a child who was operated on immediately after the diagnosis of perforation of the piriform recessus and was managed successfully. Light-guided pharyngoscopy was very useful for detecting the region of perforation. The literature on such injuries is reviewed here, and the problems associated with treating children with perforation of the piriform recessus and mediastinitis caused by swallowed glass splinters are discussed.

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References

  1. Fukuyama S, Yuta A, Yamada H, Harada T, Sakakura Y (1994) A case of esophageal perforation caused by a piece of glass. J Jpn Bronchoesophagol Soc 45:462–466

    Google Scholar 

  2. Yan-Xiao Z, Miyazaki T, Yamashita K (1992) Esophageal perforation: a comparative study on cases in China and Japan. J Jpn Bronchoesophagol Soc 43:257–272

    Google Scholar 

  3. Radford PJ, Wells FC (1988) Perforation of the oesophagus by a swallowed foreign body presenting as a mediastinal and pulmonary mass. Thorax 43:416–417

    CAS  PubMed  Google Scholar 

  4. Nandi P, Ong GB (1978) Foreign body in the oesophagus. Review of 2394 cases. Br J Surg 65:5–9

    CAS  PubMed  Google Scholar 

  5. Skinner DB, Little AG, DeMeester TR (1980) Management of esophageal perforation. Am J Surg 139:760–764

    Article  CAS  PubMed  Google Scholar 

  6. Bozer AY, Saylam A, Ersoy U (1974) Purulent pericarditis due to perforation of esophagus with foreign body. J Thorac Cardiovasc Surg 67:590–592

    CAS  PubMed  Google Scholar 

  7. Mollitt DL, Schullinger JN, Santulli TV (1981) Selective management of iatrogenic esophageal perforation in the newborn. J Pediatr Surg 16:989–993

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Surgery, Hokkaido University School of Medicine, Kita-ku, Kita 15, Nishi 7, 060-8638, Sapporo , Japan

    T. Okada & F. Sasaki

  2. Department of First Surgery, Hokkaido University School of Medicine, Kita-ku, Kita 15, Nishi 7, 060–8638, Sapporo , Japan

    S. Todo

Authors
  1. T. Okada
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  2. F. Sasaki
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  3. S. Todo
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Correspondence to T. Okada.

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Okada, T., Sasaki, F. & Todo, S. Perforation of the piriform recessus by a swallowed glass splinter presenting as pneumomediastinum in a child. Ped Surgery Int 20, 643–645 (2004). https://doi.org/10.1007/s00383-004-1249-9

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  • DOI: https://doi.org/10.1007/s00383-004-1249-9

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