Cervical oesophageal perforation secondary to food consumption in a well-appearing patient

Schneider, Alexander L.; Hicks, Katherine; Matsuoka, Akihiro

doi:10.1136/bcr-2017-222576

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…8,10,11 Once a foreign body lodged in the cervical tissues is identified, it must be promptly removed, considering that the delay in removal leads to severe sequelae. 12 In this case, the surgeon must be able to perform an exploratory cervicotomy with delicate dissection of the cervical structures in search of the foreign body.…”

Section: Discussionmentioning

confidence: 99%

Carotid artery perforation by fish bone - a case report

Maués¹,

Maués²,

Sousa³

et al. 2022

J. vasc. bras.

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Accidental fish bone ingestion is a common complaint at emergency departments. The majority of cases have a benign course. However, serious complications such as esophagus perforation, cervical vessel injury and cervical abscess can occur in 7.4% of cases. Mortality rates can be as high as 50% when mediastinitis occurs. We report a case of an esophageal perforation caused by a fish bone with a lesion to the right common carotid artery after 20 days of evolution. Surgical exploration occurred with corrections of the lesion in the right common carotid and esophagus. Early identification of this kind of injury is paramount to prevent potentially fatal complications.

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Section: Discussionmentioning

confidence: 99%

Carotid artery perforation by fish bone - a case report

Maués¹,

Maués²,

Sousa³

et al. 2022

J. vasc. bras.

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“…Uma vez identificado um corpo estranho alojado nos tecidos cervicais, ele deve ser prontamente removido, tendo em vista que o atraso na remoção acarreta sequelas graves 12 . Nesse caso, o cirurgião deve estar apto a realizar uma cervicotomia exploradora com dissecção delicada das estruturas cervicais em busca do corpo estranho.…”

Section: Discussionunclassified

Lesão transfixante de carótida por espinha de peixe - relato de caso

Maués¹,

Maués²,

Sousa³

et al. 2022

J. vasc. bras.

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“…FBs from dentures and fishbones with sharp edges and pleomorphisms are easily impacted at the cervical or upper thoracic esophagus. Interestingly, some of these FBs were removed by surgery because of their proximity to major vasculatures or because of the formation of esophageal diverticulum [ 8 – 11 ]. The esophagus adjacent to major vasculatures, including the aortic arch, is another common site of FB impaction [ 12 ], which might cause esophago-vessel injury, namely EAF or aortic hematoma.…”

Section: Discussionmentioning

confidence: 99%

“…Lee et al reported an impacted fishbone at the upper esophagus that caused a direct injury of a patient’s lung and vessels, which required treatment by minimally invasive surgery [ 14 ]. Schneider et al also reported a fishbone stuck tightly at the cervical esophagus that required removed by transcervical surgery, as it was proximal to the major vasculatures of the patient’s head and neck [ 11 ]. In addition, partial dentures with sharp points or barbs are also likely to cause complications, such as EMF or esophageal diverticulum, requiring surgical treatment [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Endoscopy Alone with Surgery Converted from Endoscopy for the Removal of Esophageal Foreign Bodies in Adults: A Retrospective Study from a Single Center

Qin

2021

Med Sci Monit

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Background The impaction of an esophageal foreign body is an urgent situation requiring emergency intervention. This retrospective study from a single center in China aimed to compare endoscopy alone with surgery converted from endoscopy for the removal of esophageal foreign bodies in adults. Material/Methods A total of 252 patients with esophageal foreign bodies were divided into 3 groups based on the treatment received: endoscopy, surgery converted from endoscopy, or surgery only. Patients’ clinical and demographic data were retrospectively reviewed and analyzed. Results The diameter of the foreign bodies in patients treated by surgery converted from endoscopy was larger than that of those treated by simple endoscopy (5.2 cm vs 2.7 cm, P =0.0003). The cervical or upper thoracic esophagus was the most common site of foreign body impaction treated by surgery converted from endoscopy, while the foreign bodies removed by simple endoscopy were frequently lodged at the middle thoracic esophagus ( P =0.021). Bone-related foreign bodies and dentures were most likely impacted in patients treated with surgery converted from endoscopy. The factors influencing the choice of treatment included foreign body maximal diameter and location. Conclusions Larger foreign bodies that were found in the cervical or upper thoracic esophagus were associated with failed endoscopic removal and required surgical removal. Irregularly shaped or sharp foreign bodies, including dentures and fishbones, required surgical removal. These findings may guide future decisions of first-line approaches for the removal of esophageal foreign bodies.

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Cervical oesophageal perforation secondary to food consumption in a well-appearing patient

Cited by 5 publications

References 11 publications

Carotid artery perforation by fish bone - a case report

Carotid artery perforation by fish bone - a case report

Lesão transfixante de carótida por espinha de peixe - relato de caso

Comparison of Endoscopy Alone with Surgery Converted from Endoscopy for the Removal of Esophageal Foreign Bodies in Adults: A Retrospective Study from a Single Center

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