- 期刊
Esophageal Perforation from a Fish Bone was Complicated by Pericarditis and Recurrent Stroke in an Acute Stroke Patient
魚骨穿刺造成食道破裂併發心胞炎及再發性中風：病例報告
並列摘要
Early diagnosis of esophageal perforation by foreign body impalement in acute stroke is difficult because of the accompanying masking neurological symptoms. Delayed detection of esophageal perforation results in devastating complications such as mediastinitis and pericarditis. Furthermore, atrial fibrillation, due to acute pericarditis, may aggravate the clinical condition as a result of increased incidence of recurrent stroke. Here we present a 59-year-old male patient who sustained an acute stroke followed by fish bone impalement in the esophagus. This was complicated by esophageal perforation with subsequent acute mediastinitis, pericarditis, and recurrent stroke with multiple cerebral infarcts. Even with thoracotomy, mediastinal drainage and broad-spectrum antibiotics, the patient passed away. This case highlights the importance of alertness and early diagnosis in the acute stroke patient with a history of fish bone impalement.
延伸閱讀
- Liao, Y. S., Chien, H. H., Lin, T. H., Hii, C. H., & Juan, C. W. (2018). 迴腸末端魚刺腸穿孔致腹膜炎：病例報告. 弘光學報, (81), 1-5. https://doi.org/10.6615/HAR.201803_(81).0001
- 楊傳文、楊菁華、鄭舒倖、吳敬堂、羅世慧（2006）。魚骨呑入引發腹壁膿瘍：病例報告及文獻回顧。中華民國急救加護醫學會雜誌，17(2)，81-85。https://doi.org/10.30018/JECCM.200606.0006
- Weng, M. T., & Lee, T. H. (2009). 吞食魚刺引發之大腸出血：一病例報告. 臺灣消化醫學雜誌, 26(3), 33-36. https://doi.org/10.6557/GJT.200909_26(3).0006
- Ho, M. P., Huang, Y. H., Cheung, W. K., Tsai, K. C., & Wu, Y. H. (2013). 吞入魚骨引起空腸穿孔：病例報告. 中華民國急救加護醫學會雜誌, 24(3), 89-93. https://www.airitilibrary.com/Article/Detail?DocID=10232214-201309-201409100002-201409100002-89-93
- Chiu, H. H., Li, J. H., & Chen, J. S. (2006). 魚刺導致之食道穿透. 內科學誌, 17(6), 298-301. https://doi.org/10.6314/JIMT.2006.17(6).05