Esophageal foreign body as a cause of upper gastrointestinal hemorrhage: case report and review of the literature.
Foreign body ingestion is a common complaint in the emergency department. Severe upper gastrointestinal (GI) hemorrhage is a rare complication of foreign body ingestion and is always considered to signal aortoesophageal fistula (AEF). We report a rare case of a 65-year-old man with upper GI hemorrhage caused by an ingested duck bone 10 days previously. Instead of AEF, massive erosion and edema were found in the esophagus, highlighting the potentially complex pathology of foreign body ingestion. A literature review of the recognized clinical features of esophageal foreign body is described. Some practical points and pitfalls in the management of esophageal foreign body are presented. For patients with a history of esophageal foreign body ingestion, the clinician must maintain a high index of suspicion and must endeavor to obtain a full history.
Huiping
Ye
Y
Department of Otolaryngology, Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China. yehuiping888@yahoo.com.cn
Jian
Zou
Z
Shixi
Liu
L
D000368:Aged; D004935:Esophageal Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
Chest. 2004 Jul;126(1):294-7
15249474
Am J Med. 1991 Sep;91(3):279-87
1892150
Gastroenterology. 1967 Nov;53(5):768-77
6061364
Gastrointest Endosc. 1995 Jan;41(1):33-8
7698622
Emerg Med Clin North Am. 1996 Aug;14(3):493-521
8681881
Int J Pediatr Otorhinolaryngol. 2001 Jun 7;59(2):89-97
11378183
Ear Nose Throat J. 2003 Oct;82(10):786, 789-94
14606176
Gastrointest Endosc. 2002 Jun;55(7):802-6
12024131
Pediatr Surg Int. 2007 Feb;23(2):135-9
17043873