Vertebral body infection due to esophageal perforation caused by ingestion of fishbone:a case report
Ling-Yun Zhang1
Hong Liang2
Xue-Guo Sun1
1.Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China2.The Community Healthcare Center of Yan'an'er Road, Qingdao, Shandong 266000, China
摘要：Background:Esophageal injury is a common complication of foreign bodies in the upper gastrointestinal tract,but bilateral pleural effusion or vertebral infection is a rare condition due to a swallowed fishbone.It is considerably difficult for a physician to diagnose quickly because of incomplete patient history of foreign bodies ingestion and/or insufficient experiences.Patient concerns:We describe the case of a 56-year-old man who was admitted to an emergency medical department owing to a low to moderate fever for 7 days.After a series of examinations,the patient was diagnosed with esophageal perforation (EP) caused by a fishbone that was swallowed half a month ago.Diagnoses:About 12 days after the onset of fever,he was diagnosed with EP based on the gastric endoscopic images combined with histological section and sufficient history of the disease.About 2 months later,the patient has obvious back pain and lack of strength in two legs and was diagnosed with vertebral body infection.Interventions:Antibiotic therapy,multi-disciplinary team (MDT),and surgical intervention had been exerted.Outcomes:It is very fortunate for this patient to have a good prognosis due to a timely diagnosis and proper management.Muscle power has attained level 5.Lessons:Several lessons can be learned from this case;for example,physicians should be alerted to the EP,endoscopic intervention should be prompt,antibiotics should be used regularly,and so on.
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论文发表日期：2020-06-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：3( 77-79 )
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