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Perforation of the esophagus by a fish bone leading to an infected pseudoaneurysm of the thoracic aorta

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Abstract

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.

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Correspondence to Hideyuki Kunishige.

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Kunishige, H., Myojin, K., Ishibashi, Y. et al. Perforation of the esophagus by a fish bone leading to an infected pseudoaneurysm of the thoracic aorta. Gen Thorac Cardiovasc Surg 56, 427–429 (2008). https://doi.org/10.1007/s11748-008-0266-3

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  • DOI: https://doi.org/10.1007/s11748-008-0266-3

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