PDF(Pubmed)
Abstract：
Esophageal obstruction represents an endoscopic emergency owing to the high mortality rate associated with complications, including perforation and airway compromise. While typically caused by food or foreign body ingestion, esophageal clot represents a rare etiology of obstruction. We present a case of esophageal obstruction in the context of an anastomotic stricture and chronic anticoagulation for atrial fibrillation caused by clot formation due to oral hemorrhage after dental extractions. Clot retrieval was accomplished via endoscopic suction, and balloon dilation of the anastomotic stricture was performed to prevent recurrence. Our case illustrates the importance of considering oral hemorrhage, therapeutic anticoagulation, and esophageal strictures as risk factors for esophageal obstruction due to clot formation in order to make a timely diagnosis and treatment of this potential endoscopic emergency.
摘要：
由于并发症的高死亡率，食管梗阻代表内镜下急诊。包括穿孔和气道受损。虽然通常由食物或异物摄入引起，食管凝块是一种罕见的梗阻病因。我们介绍了在吻合口狭窄和慢性抗凝治疗的情况下，由于拔牙后由于口腔出血而形成凝块而引起的心房颤动，导致食管阻塞。凝块取出是通过内窥镜抽吸完成的，并对吻合口狭窄进行球囊扩张以防止复发。我们的案例说明了考虑口腔出血的重要性，治疗性抗凝,和食管狭窄是由于凝块形成导致食管阻塞的危险因素，以便及时诊断和治疗这种潜在的内镜急诊。
