Treatment of esophageal perforation and chylothorax developed after ingestion of metal money

Esophageal injuries are a clinical condition that requires urgent intervention and delays in diagnosis and treatment lead to a significant increase in morbidity and mortality. Iatrogenic esophageal injuries have increased as endoscopic procedures have become widespread. In this paper, we present the approaches we applied in the follow-up and treatment of esophageal perforation during rigid esophagoscopy in a 3 year olds patient who aspirated foreign body (metal money). Two days after esophagoscopy, fever, tachypnea, and right pleural effusion occurred, esophageal perforation was considered. Esophageal perforation was primarily repaired cervical incision. After 10 days, the esophagogram revealed a fistula as a thin leak from the proximal esophagus. Follow-up of the patient developed empyema and chylothorax in the right thorax. Antibyotherapy, betadine pleural washing, somatostatin treatment, tube drainage, chemical pleurodesis, decortication and ductus thoracicus mass ligation were performed. The patient was discharged on the 88th postoperative day