Ingested chicken bone leading to aorto-esophageal fistula.
We report a 38-year-old male patient who was referred to King Abdullah University Hospital, Irbid, Jordan with massive upper gastrointestinal bleeding. The bleeding proved to be due to aorto-esophageal fistula caused by accidental ingestion of a chicken wing bone 10 days earlier. The patient died during a salvage thoraco-laparotomy. Primary aorto-esophageal fistula is a very rare but catastrophic condition that is frequently missed preoperatively. A high index of suspicion is needed for early diagnosis, which might improve the chance of survival.
Shatnawi
Nawaf J
NJ
Department of Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Bani-Hani
Kamal E
KE
D000328:Adult; D001013:Aorta, Thoracic; D001027:Aortography; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D005547:Foreign Bodies / Q000150:complications*; D005548:Foreign-Body Migration / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D007813:Laparotomy / Q000379:methods; D008297:Male; D012720:Severity of Illness Index; D013908:Thoracotomy / Q000379:methods; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery