Abstract
Esophageal perforation caused by accidental swallowing of fish bones can lead to rare complications, such as aortoesophageal fistula accompanied by aortic pseudoaneurysm, which can be fatal if not properly handled. We report two rare cases of aortoesophageal fistula and aortic pseudoaneurysm caused by esophagus perforation after accidental swallow of fish bone; the patients also had purulent mediastinitis and esophagitis. The treatment of aortic pseudoaneurysm was successful in both cases, with one patient undergoing surgical resection and aortic neoplasty and the other patient undergoing endovascular stent graft placement. Long-term antibiotic treatment was administered to both patients after surgery. There were no postsurgical complications, and the patients recovered without incident.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Scher RL, Tegtmeyer CJ, McLean WC (1990) Vascular injury following foreign body perforation of the esophagus: review of the literature and report of a case. Ann Otol Rhinol Laryngol 99:698–702
Sica GS, Djapardy V, Westaby S, Maynard ND (2004) Diagnosis and management of aortoesophageal fistula caused by a foreign body. Ann Thorac Surg 77:2217–2218
Nandi P, Ong GB (1978) Foreign body in the oesophagus: review of 2394 cases. Br J Surg 65:5–9
Skinner DB, Little AG, DeMeester TR (1980) Management of esophageal perforation. Am J Surg 139:760–764
Hunt I, Hartley S, Alwahab Y, Birkill GJ (2007) Aortoesophageal perforation following ingestion of razorblades with massive haemothorax. Eur J Cardiothorac Surg 31:946–948
Marco De Lucas E, Sádaba P, Lastra García-Barón P, Ruiz-Delgado ML, González Sánchez F, Ortiz A et al (2004) Value of helical computed tomography in the management of upper esophageal foreign bodies. Acta Radiol 45:369–374
D’Costa H, Bailey F, McGavigan B, George G, Todd B (2003) Perforation of the oesophagus and aorta after eating fish: an unusual cause of chest pain. Emerg Med J 20:385–386
Ishimaru S, Kawaguchi S, Koizumi N, Obitsu Y, Ishikawa M (1998) Preliminary report on prediction of spinal cord ischemia in endovascular stent graft repair of thoracic aortic aneurysm by retrievable stent graft. J Thorac Cardiovasc Surg 115:811–818
Acknowledgments
We thank Yu Danghui, of the Academic Journal of Second Military Medical University, for polishing the English language in the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chen, Ap., Yu, H., Li, Hm. et al. Aortoesophageal Fistula and Aortic Pseudoaneurysm Induced by Swallowed Fish Bone: A Report of Two Cases. Cardiovasc Intervent Radiol 34 (Suppl 2), 17–19 (2011). https://doi.org/10.1007/s00270-009-9764-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-009-9764-7