Vocal cord paralysis and oesophago-broncho-aortic fistula complicating foreign body-induced oesophageal perforation.
A 61 year old man died after presenting with a 24 h history of haematemesis and haemoptysis, and one year history of hoarseness of voice. Post-mortem examination showed a dental plate eroding through the mid-oesophagus into a bronchus and into the descending arch of the aorta, with scarring suggestive of old perforation. An organized haematoma also involved the left recurrent laryngeal nerve. Vocal cord paralysis may be a manifestation of foreign body-induced oesophageal perforation, which can lead to death from an oesophago-broncho-aortic fistula. Both complications of oesophageal perforation from a foreign body have not to our knowledge been previously reported.
Taha
A S
AS
Gastroenterology Unit, Royal Infirmary, Glasgow, UK.
Nakshabendi
I
I
Russell
R I
RI
D001013:Aorta, Thoracic / Q000473:pathology; D001018:Aortic Diseases / Q000209:etiology* / Q000473:pathology; D001980:Bronchi / Q000473:pathology; D001983:Bronchial Fistula / Q000209:etiology* / Q000473:pathology; D003778:Dentures; D004937:Esophageal Fistula / Q000209:etiology* / Q000473:pathology; D004939:Esophageal Perforation / Q000209:etiology* / Q000473:pathology; D004945:Esophagoscopy; D004947:Esophagus / Q000473:pathology; D005402:Fistula / Q000209:etiology* / Q000473:pathology; D005547:Foreign Bodies / Q000150:complications* / Q000473:pathology; D006469:Hemoptysis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000473:pathology