Fish bone ingestion mimicking aortic dissection: a case report.
BACKGROUND
The lodgement of fish bones during ingestion is a common complaint and can mimic other medical conditions such as aortic dissection.


METHODS
In this case a non-English speaking 63-year-old Chinese man presented to the emergency department with chest pain and hypotension. Subsequent spiral computed tomography angiography ruled out aortic dissection but demonstrated a lodged fish bone tenting the oesophagus in the non-contrast phase.


CONCLUSIONS
This case highlights the importance of this imaging modality as well as the role of a good history in establishing an early diagnosis.
Westmead Hospital, Cnr Hawkesbury and Darcy Roads, Sydney, New South Wales, Australia. bkitzing@gmail.com.
Bjoern
B
Kitzing
Yu Xuan
YX
Li