Aorto-oesophageal fistula and aortic pseudoaneurysm caused by a swallowed fish bone

Sia, K J; Ashok, G.; Ahmad, FU; Kong, Catherine K L

doi:10.12809/hkmj133668

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…[4][5][6][7][8][9][10] This impaction frequently occurs in oropharynx, where there are palatine tonsils, base of tongue, pyriform sinus and the vallecula. 1,5,7,[10][11][12][13][14] The other is, the esophagus (28-68% of gastro-intestinal foreign bodies were found impacted here).10 In this report it was found penetrated to cervical esophageal wall, which is the location of most, i.e. at the cricopharyngeal level, and the thoracic esophagus at the level of aortic arch.…”

Section: Discussionmentioning

confidence: 71%

“…In most cases, impacted fish bone in oropharynx may be removed easily through oral approach, particularly when the bone leaves a remaining structure exposed. 12,1 But, when there is no bone identified in oral exam, any ulceration with pooling of saliva may indicate the site of impaction. In unsuccessful oral retrieval, a direct laryngoscope may be used in assistance.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,7,10,11 There were reports of rare complications such as internal carotid artery puncture, internal jugular vein thrombophlebitis, brachial plexus injury and thyroid lodgment. [1][2][3]7,10,12 We reported a case of impacted fish bone complicated with carotidesophageal fistula and deep neck abscess treated in dr. Cipto Mangunkusumo General Hospital, that was misdiagnosed and mismanaged at the early date.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Common Carotid–Esophageal Fistula following Migrated Fish Bone: A Rare Case report

Suharto

Putra

Jamtani

2018

NRJS

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Common Carotid–Esophageal Fistula following Migrated Fish Bone: A Rare Case report

Suharto

Putra

Jamtani

2018

NRJS

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“…The treatments of AEF mainly include the following: (1) Enteral feeding with broad-spectrum antibiotics and proton pump inhibitors, as well as percutaneous endoscopic gastrostomy or esophageal fistula bypass, but these approaches are often ineffective due to recurrent bleeding and severe infection[ 4 ]; (2) Endovascular stent-graft treatment is a rapid, minimally invasive and effective alternative to emergent surgical treatment of AEF and can quickly identify the bleeding site and achieve hemostasis through stent implantation[ 5 ]; and (3) Surgical repair is the typical treatment approach and was considered the only definitive treatment for foreign body-related AEF before the emergence of endovascular treatment, with in-hospital mortality and reintervention rate of nearly 40% and 50%, respectively[ 6 , 7 ]. A left thoracotomy followed by aortic replacement with a prosthetic/cryopreserved homograft is the typical approach for open AEF repair[ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Endovascular stent-graft treatment for aortoesophageal fistula induced by an esophageal fishbone: Two cases report

Gong¹,

Wei²,

Huang³

et al. 2022

WJCC

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BACKGROUND Aortoesophageal fistula (AEF) induced by esophageal fishbones is a rare complication of esophageal foreign bodies and is very difficult to treat. Although the current view suggests that endovascular stent-graft treatment is useful for AEF, whether a subsequent thoracic operation is necessary remains controversial. The purpose of this report is to describe our experience using endovascular stent-graft treatment without combined thoracic operations for the treatment of AEF in two specific cases. CASE SUMMARY We presented two cases of patients complaining of retrosternal discomfort treated in our department for an aortoesophageal fistula caused by the accidental ingestion of a fishbone. The two patients were effectively managed with combined means of endoscopic, medical (broad-spectrum antibiotic therapy, fasting, gastrointestinal decompression, etc .) and endovascular stent-graft treatment. The main difference in treatment was that the first patient presented with hematemesis after endoscopic removal of the fishbone. Subsequently, the patient underwent endovascular stent-graft treatment. The second case was managed with endoscopic removal of the fishbone with simultaneous endovascular stent-graft treatment, without any signs of hematemesis or melena. Both patients had successful postoperative management and were discharged home. Long-term follow-up is ongoing. CONCLUSION The treatment decision-making process should depend on the patients’ specific situations. Our practice indicates that endovascular stent-graft treatment without combined thoracic operations could be a valuable alternative in selected patients.

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“…There has been documentation of formation of an aortoesophageal fistula with resultant aortic pseudoaneurysm development from a swallowed fish bone [2]. Because the left atrium comes into close proximity with the esophagus, there also have been reports of cardiac tamponade from localized perforation of the esophagus into the pericardial sac [3].…”

Section: Discussionmentioning

confidence: 99%

Toothpick meningitis

Zhou

Singh

Monteforte

2017

Radiology Case Reports

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A 66-year-old male with a history of hypertension, back pain, diverticulosis and anal fistula presents with acute onset syncopal episodes, worsening back pain, and altered mental status. The patient exhibited considerable leukocytosis but was hemodynamically stable. CT imaging of the head revealed a gas pattern in the posterior fossa and velum interpositum. CT imaging of the abdomen and pelvis revealed a needle-like foreign body traversing the left sacrum to the sigmoid colon. A lumbar puncture revealed meningitis. Flexible sigmoidoscopies were performed without successful visualization of the foreign body. An explorative laparoscopy was successfully performed, enabling retrieval of what was determined to be a wooden toothpick. The patient remained hemodynamically stable with persistent altered mental status and was eventually discharged after completion of antibiotics on day 47 of hospitalization. This case illustrates a rare complication of ingesting a sharp foreign body that was identified by CT of the brain and abdomen/pelvis with successful surgical repair.

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Aorto-oesophageal fistula and aortic pseudoaneurysm caused by a swallowed fish bone

Cited by 8 publications

References 6 publications

Common Carotid–Esophageal Fistula following Migrated Fish Bone: A Rare Case report

Common Carotid–Esophageal Fistula following Migrated Fish Bone: A Rare Case report

Endovascular stent-graft treatment for aortoesophageal fistula induced by an esophageal fishbone: Two cases report

Toothpick meningitis

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