title: Embedded pork bone causing esophageal perforation and an esophagus-innominate artery fistula.
abstract: Chronically embedded foreign bodies can lead to perforations, mediastinitis, and abscess, amongst a host of other complications. A 20-year-old mentally challenged female presented with "something stuck in her throat," severe dysphagia, and recurrent vomiting. Initial imaging was unremarkable; however, subsequent imaging and esophagogastroduodenoscopy two weeks later revealed an embedded pork bone. Surgery was performed to remove the bone and fix the subsequent esophageal perforation and esophagus-innominate artery fistula. This case helps reinforce the urgency in removing an ingested foreign body and the ramifications that may arise with chronically embedded foreign bodies.
authors.affiliation: Kansas City University of Medicine and Biosciences (KCUMB), 1750 E. Independence Avenue, Kansas City, MO 64106, USA.
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Berry
authors.affiliation: Department of Medicine and Advanced Therapeutic Endoscopy, College of Medicine, University of Florida, Gainesville, Florida, FL 32610, USA.
authors.forename: Peter V
authors.initials: PV
authors.lastname: Draganov
authors.affiliation: Department of Internal Medicine, University of South Florida, Tampa, FL 33612, USA.
authors.forename: Brijesh B
authors.initials: BB
authors.lastname: Patel
authors.affiliation: Department of Internal Medicine, University of Miami Miller School of Medicine, Palm Beach Regional Campus, Atlantis, FL 33462, USA.
authors.forename: Danny
authors.initials: D
authors.lastname: Avalos
authors.affiliation: Department of Radiology, West Palm Hospital, West Palm Beach, FL 33407, USA.
authors.forename: Warren L
authors.initials: WL
authors.lastname: Reuther
authors.affiliation: Kansas City University of Medicine and Biosciences (KCUMB), 1750 E. Independence Avenue, Kansas City, MO 64106, USA.
authors.forename: Avinash
authors.initials: A
authors.lastname: Ravilla
authors.affiliation: Department of Internal Medicine, Wheaton Franciscan Healthcare, Milwaukee, WI 53215, USA.
authors.forename: Bruce B
authors.initials: BB
authors.lastname: Berry
authors.affiliation: Digestive Disease Center of the Palm Beaches, Loxahatchee, FL 33470, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Monzel