A rare case of iatrogenic deep neck infection secondary to hypopharyngeal injury caused by the transesophageal echocardiography

Hyung Yoon Kim, Sang Chol Lee, Sung Ji Park, Jin Oh Choi, Sung A. Chang, Sung Mok Kim, Yeon Hyeon Choe, Jae Kuen Oh, Seung Woo Park

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Transesophageal echocardiography (TEE) is considered relatively safe but semi-invasive. The hypopharyngeal and esophageal injury is infrequent complication of TEE but could be serious, even life-threatening. We present a case of a 74-year-old man who experienced a deep neck infection secondary to hypopharyngeal injury following TEE. The diagnosis was made because of the subcutaneous emphysema developed 3 hours after TEE. In spite of antibiotics therapy with prolonged fasting, a right parapharyngeal and retropharyngeal abscess was developed 5 days later. With ultrasound-guided drainage of abscess and continuous antibiotic treatment, infection was controlled. The patent underwent mitral valve repair after 14 days of antibiotic therapy. The patient recovered uneventfully. For cardiologists performing TEE, it is required to know complications and their risk factors to minimize hypopharyngeal and esophageal injury.

Original languageEnglish (US)
Pages (from-to)181-185
Number of pages5
JournalJournal of Cardiovascular Ultrasound
Volume23
Issue number3
DOIs
StatePublished - Sep 1 2015

Fingerprint

Transesophageal Echocardiography
Coinfection
Neck
Wounds and Injuries
Anti-Bacterial Agents
Retropharyngeal Abscess
Subcutaneous Emphysema
Mitral Valve
Abscess
Drainage
Fasting
Therapeutics
Infection

Keywords

  • Complications
  • Hypopharyngeal injury
  • Hypopharynx
  • Iatrogenic deep neck infection
  • Transesophageal echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

A rare case of iatrogenic deep neck infection secondary to hypopharyngeal injury caused by the transesophageal echocardiography. / Kim, Hyung Yoon; Lee, Sang Chol; Park, Sung Ji; Choi, Jin Oh; Chang, Sung A.; Kim, Sung Mok; Choe, Yeon Hyeon; Oh, Jae Kuen; Park, Seung Woo.

In: Journal of Cardiovascular Ultrasound, Vol. 23, No. 3, 01.09.2015, p. 181-185.

Research output: Contribution to journalArticle

Kim, Hyung Yoon ; Lee, Sang Chol ; Park, Sung Ji ; Choi, Jin Oh ; Chang, Sung A. ; Kim, Sung Mok ; Choe, Yeon Hyeon ; Oh, Jae Kuen ; Park, Seung Woo. / A rare case of iatrogenic deep neck infection secondary to hypopharyngeal injury caused by the transesophageal echocardiography. In: Journal of Cardiovascular Ultrasound. 2015 ; Vol. 23, No. 3. pp. 181-185.
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