Medicine of the Future in America

Esophageal foreign body causing direct aortic injury (Part 1)

direct aortic injuryEsophageal perforation and its complications have been well documented in the literature. Documented etiologies include tumours, iatrogenic causes, trauma and foreign body ingestion. Foreign body ingestion is an uncommon cause of esophageal perforation but the complications associated with a prolonged impaction can result in considerable morbidity and mortality. Although there have been many cases reported of aortoesophageal fistulae following foreign body ingestion, little has been published about direct aortic injury from a foreign body. Because esophageal perforation and vascular injury usually present as hematemesis or melena, gastroenterologists should be aware of this diagnostic possibility. We present a case of esophageal perforation associated with direct vascular injury related to an aortic puncture caused by a fish bone. Looking for a great online pharmacy you could trust and where you could find cephalexin antibiotic at best prices? You have one pharmacy like that already and can finally enjoy the best quality of service ever experienced.

CASE PRESENTATION

A previously healthy 59-year-old woman presented to a local infirmary with a 3 h history of retrosternal chest pain. The pain began immediately after eating a meal of fish. The restrosternal chest pain was pleuritic in nature. The patient had odynophagia. She was treated conservatively with antacids and discharged home. She returned two days later because the pain persisted and began to radiate to the intrascapular region. She became diaphoretic and pale. There were no complaints of nausea or vomiting. The patient was then seen at a peripheral hospital where the possibility of aortic dissection was considered. She was transferred to this hospital for further investigation.

This entry was posted in Direct aortic injury and tagged Esophageal perforation, Foreign body, Hematemesis.
Copyright © 2012 Medicine of the Future in America www.perfexis.org