Esophageal Foreign Body Causing Direct Aortic Injury
Foreign bodies in the esophagus are uncommon causes of esophageal perforation. Many nonperforating cases are successfully managed by flexible gastroscopy. However, complicated foreign bodies such as those that result in esophageal perforation and vascular injury are best managed surgically. Gastrosc...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2003-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/2003/948232 |
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| _version_ | 1832563895561093120 |
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| author | ECS Lam JA Brown JS Whittaker |
| author_facet | ECS Lam JA Brown JS Whittaker |
| author_sort | ECS Lam |
| collection | DOAJ |
| description | Foreign bodies in the esophagus are uncommon causes of esophageal perforation. Many nonperforating cases are successfully managed by flexible gastroscopy. However, complicated foreign bodies such as those that result in esophageal perforation and vascular injury are best managed surgically. Gastroscopy remains the primary method of diagnosis. A case of a 59-year-old woman who developed retrosternal and intrascapular pain, odynophagia and hematemesis after eating fish is reported. Flexible gastroscopy showed arterial bleeding from the midthoracic esophagus. Computed tomography scan localized a 3 cm fish bone perforating the esophagus with surrounding hematoma. An aortogram did not reveal an actively bleeding aortoesophageal fistula. The fish bone was surgically removed and the patient recovered with no postoperative complications. This case illustrates the importance of early consideration for surgical intervention when confronted with a brisk arterial bleed from the esophagus with suggestive history of foreign body ingestion. |
| format | Article |
| id | doaj-art-2d0ba8bf96f14f11a25a793dd300be4b |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 2003-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-2d0ba8bf96f14f11a25a793dd300be4b2025-02-03T01:12:14ZengWileyCanadian Journal of Gastroenterology0835-79002003-01-0117211511710.1155/2003/948232Esophageal Foreign Body Causing Direct Aortic InjuryECS Lam0JA Brown1JS Whittaker2Department of Medicine, University of Alberta, Edmonton, Alberta, CanadaDepartment of Radiology, St Paul’s Hospital, Vancouver, British Columbia, CanadaDepartment of Medicine, St Paul’s Hospital, Vancouver, British Columbia, CanadaForeign bodies in the esophagus are uncommon causes of esophageal perforation. Many nonperforating cases are successfully managed by flexible gastroscopy. However, complicated foreign bodies such as those that result in esophageal perforation and vascular injury are best managed surgically. Gastroscopy remains the primary method of diagnosis. A case of a 59-year-old woman who developed retrosternal and intrascapular pain, odynophagia and hematemesis after eating fish is reported. Flexible gastroscopy showed arterial bleeding from the midthoracic esophagus. Computed tomography scan localized a 3 cm fish bone perforating the esophagus with surrounding hematoma. An aortogram did not reveal an actively bleeding aortoesophageal fistula. The fish bone was surgically removed and the patient recovered with no postoperative complications. This case illustrates the importance of early consideration for surgical intervention when confronted with a brisk arterial bleed from the esophagus with suggestive history of foreign body ingestion.http://dx.doi.org/10.1155/2003/948232 |
| spellingShingle | ECS Lam JA Brown JS Whittaker Esophageal Foreign Body Causing Direct Aortic Injury Canadian Journal of Gastroenterology |
| title | Esophageal Foreign Body Causing Direct Aortic Injury |
| title_full | Esophageal Foreign Body Causing Direct Aortic Injury |
| title_fullStr | Esophageal Foreign Body Causing Direct Aortic Injury |
| title_full_unstemmed | Esophageal Foreign Body Causing Direct Aortic Injury |
| title_short | Esophageal Foreign Body Causing Direct Aortic Injury |
| title_sort | esophageal foreign body causing direct aortic injury |
| url | http://dx.doi.org/10.1155/2003/948232 |
| work_keys_str_mv | AT ecslam esophagealforeignbodycausingdirectaorticinjury AT jabrown esophagealforeignbodycausingdirectaorticinjury AT jswhittaker esophagealforeignbodycausingdirectaorticinjury |