Open AccessMultiple organ dysfunction caused by a foreign body in the esophagus
Author(s) -
Saša Dragić,
Peđja Kovačević,
Danica Momčičević,
Jovana Cavka,
Tijana Kovačević,
Aleksandra Aleksić,
Milka Jandrić,
Biljana Zljutro,
Vlado Djajić
Publication year - 2019
Publication title -
revista brasileira de terapia intensiva
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.431
H-Index - 19
eISSN - 1982-4335
pISSN - 0103-507X
DOI - 10.5935/0103-507x.20190075
Subject(s) - medicine , swallowing , intensive care unit , esophagus , mechanical ventilation , foreign body , esophageal sphincter , surgery , gastroenterology , pediatrics , reflux , disease
We present the case of a 71-year-old patient who was admitted to the medical intensive care unit in a state of multiple organ dysfunction. After the fourth day of applying all needed life-saving measures (vasopressor stimulation, mechanical ventilation, continuous dialysis treatment, broad spectrum antibiotic therapy, and other supportive measures), nonspecific heteroanamnestic data revealed that the patient had been having a persistent difficulty in swallowing liquids and food for a few days prior to hospital admission. After performing additional radiological and endoscopic diagnostic procedures, a foreign body was detected; a steel wire that had a length of approximately 6cm and was bent in a half had penetrated the esophagus and was projected into the seventh neckline. We managed to evacuate the foreign body endoscopically without further complications, and we stabilized our patient using additional therapeutic measures as needed.