title: Fishbone penetration of the thoracic esophagus with prolonged asymptomatic impaction within the aorta.
abstract: A 54-year-old man with fishbone penetration of the thoracic esophagus and mediastinal hematoma was successfully managed with conservative treatment. Six-month follow-up computed tomography (CT) revealed migration of the fishbone into the aorta; however, the patient was asymptomatic and refused surgery. Six years later, CT showed persistent impaction of the fishbone within the aorta, but the patient was healthy. To our knowledge, this is the first reported case of serial CT documentation of fishbone penetration of the esophagus with migration into and prolonged asymptomatic impaction within the aorta.
authors.affiliation: Department of Radiology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan. sfa.ko@msa.hinet.net
authors.forename: Sheung-Fat
authors.initials: SF
authors.lastname: Ko
authors.forename: Hung-I
authors.initials: HI
authors.lastname: Lu
authors.forename: Shu-Hang
authors.initials: SH
authors.lastname: Ng
authors.forename: Chia-Te
authors.initials: CT
authors.lastname: Kung
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries*; D001027:Aortography / Q000379:methods; D058070:Asymptomatic Diseases; D001842:Bone and Bones; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D005547:Foreign Bodies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017747:Seafood; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology*