Perforation of the esophagus by a fish bone leading to an infected pseudoaneurysm of the thoracic aorta.
A 79-year-old woman was urgently referred to a district hospital with dull central chest pain after swallowing a fish bone. The bone was removed by esophagoscopy. Eleven days later she presented because of hematemesis. Computed tomography and aortic arch angiography confirmed a diagnosis of esophageal perforation leading to mediastinitis and the presence of an infected pseudoaneurysm. The infected pseudoaneurysm was completely resected, followed by direct aorto-aorta anastomosis and omental coverage in a one-stage operation. She improved and was discharged 2 months later.
Kunishige
Hideyuki
H
Division of Cardiovascular Surgery, National Hospital Organization Hokkaido Cancer Center, 4-2 Kikusui, Shiroishiku, Sapporo 003-0804, Japan. kunishig@sap-cc.go.jp
Myojin
Kazuhiro
K
Ishibashi
Yoshimitsu
Y
Ishii
Koji
K
Kawasaki
Masakazu
M
Oka
Junichi
J
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery; D000818:Animals; D001013:Aorta, Thoracic / Q000293:injuries*; D001842:Bone and Bones; D004939:Esophageal Perforation / Q000209:etiology*; D005260:Female; D005399:Fishes; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D010359:Patient Readmission; D011859:Radiography; D016896:Treatment Outcome