식도 천공과 식도주위 농양을 동반한 식도 이물 1례

The main point in managing suspected impaction of esophageal foreign bodies is to decide whether the patient needs an esophageal endoscopy. Esophageal perforation caused by foreign body is caused by pressure necrosis with progressive breakdown of the esophageal wall and migration of the object into the pleural cavity or even into the major vessel. We experienced a case of esophageal foreign body which penetrated the cervical esophagus and formed periesophageal abscess. It was successfully removed endospically and complication was treated with conservative management. (J Clinical Otolaryngol 2000;11:309-313)