Carotid-esophageal fistula due to a retained foreign body

Behesthirouy, Samad; Kakaei, Farzad

doi:10.1177/0218492313502210

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…Interestingly the FB remained in the heart and the patient was reported to be asymptomatic five years after [ 5 ]. Carotid-esophageal fistula has also been reported due to accidental ingestion of a small (~2 cm) piece of steel wire; the patient developed hemiparesis due to late diagnosis [ 6 ]. Complications due to retained missiles.…”

Section: Discussionmentioning

confidence: 99%

Do lodged foreign bodies in the neck need to be removed? No defined criteria in 2020. Fluoroscopy role and review of literature: A case report

Reátegui

2020

Trauma Case Reports

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Penetrating neck wounds can be fatal and require prompt attention. The trauma literature is flooded with management protocols for penetrating wounds to the neck; however, in the absence of hard signs the definitive management of lodged foreign bodies beyond the platysma is less clear. This report describes a work-related injury of a Caucasian 33-year-old male who arrived in the Emergency Department (ER) with a 1 cm metallic foreign body (FB) lodged in zone II of the neck, 7 mm antero-lateral to the right internal carotid artery. The technical aspects of its retrieval are discussed as well as a literature review of the current management of embedded FBs in the neck. The patient was taken to the operating room and the FB was removed via a 3 cm incision. Fluoroscopy was used for exact localization of and to allow a precise skin incision overlying the FB. The FB was retrieved uneventfully; a fiberoptic esophagoscopy and bronchoscopy showed normal findings. The patient was discharged home the next day. At 15 months follow-up he is doing well without sequela. The use of fluoroscopy is strongly encouraged for FB removal in asymptomatic patients. The management of lodged foreign bodies in the neck should be part of future guidelines.

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Section: Discussionmentioning

confidence: 99%

Do lodged foreign bodies in the neck need to be removed? No defined criteria in 2020. Fluoroscopy role and review of literature: A case report

Reátegui

2020

Trauma Case Reports

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“…One patient died of the rupture of the pseudoaneurysm during the preparation of the surgery (4). View to the literature, most reported GI bleeding caused by foreign bodies included bread or sh bones ingestion (5). Aortoenteric stula caused by toothpick ingestion presented with initial sepsis was reported by Liao, E and et al (6).…”

Section: Discussionmentioning

confidence: 99%

Foreign Body: Uncommon Cause of a Catastrophic Upper GI Bleeding: a Case Report

Nasiri

Ahmadpour

Taghavi

et al. 2022

Preprint

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Background: Upper gastrointestinal bleeding following swallowing foreign body is often caused by a fistula between the large arteries and esophagus, which causes severe and fatal bleeding.Case presentation: A 24-year-old woman presented with severe bleeding in the upper gastrointestinal tract after unwanted swallowing a toothpick. Due to unstable hemodynamic conditions, endoscopic evaluation was not possible, and she was immediately transferred to the operating room. The source of the bleeding was the upper part of the esophagus, as the site of the bleeding was temporarily packed and ceased the surgery. CT-angiography of the head and neck arteries showed esophageal to carotid fistula.Discussion: Esophageal fistula of large arteries usually causes severe bleeding. Awareness from warning signs and timely diagnosis may propose better clinical outcomes.

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“…Artery-esophageal fistula after foreign body ingestion was more frequently reported in aortoesophageal fistula ( 13 , 14 ). There have only been a few case reports describing carotid-esophageal fistula formation from ingestion of a foreign body ( 15 – 17 ). These patients commonly experienced hematemesis with a more urgent clinical course.…”

Section: Discussionmentioning

confidence: 99%

Management strategy of a carotid-esophageal fistula with a right common carotid artery pseudoaneurysm due to chicken bone ingestion: A case report and literature review

Qian

Lian

et al. 2023

Front. Surg.

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Common carotid artery (CCA) pseudoaneurysm is a rare clinical disorder. CCA pseudoaneurysm that occurs with a carotid-esophageal fistula and causes massive upper gastrointestinal bleeding is especially uncommon but can be life-threatening. Accurate diagnosis and prompt managements are essential to save lives. Here, we report a case of a 58-year-old female who presented with dysphagia and throat pain after accidental ingestion of a chicken bone. The patient presented with active upper gastrointestinal bleeding which quickly developed into hemorrhage shock. Imaging studies confirmed a diagnosis of right CCA pseudoaneurysm and carotid-esophageal fistula. The patient had a satisfactory recovery after a right CCA balloon occlusion, right CCA pseudoaneurysm excision, and right CCA and esophageal repairs. We present and discuss this case here to remind physicians to rule out rare causes of upper gastrointestinal bleeding. A multidisciplinary approach is commonly required to achieve satisfactory outcomes in these cases.

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Carotid-esophageal fistula due to a retained foreign body

Cited by 5 publications

References 7 publications

Do lodged foreign bodies in the neck need to be removed? No defined criteria in 2020. Fluoroscopy role and review of literature: A case report

Do lodged foreign bodies in the neck need to be removed? No defined criteria in 2020. Fluoroscopy role and review of literature: A case report

Foreign Body: Uncommon Cause of a Catastrophic Upper GI Bleeding: a Case Report

Management strategy of a carotid-esophageal fistula with a right common carotid artery pseudoaneurysm due to chicken bone ingestion: A case report and literature review

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