Aortoesophageal Fistula and Aortic Pseudoaneurysm Induced by Swallowed Fish Bone: A Report of Two Cases

Journal Article · Tue Feb 15 04:00:00 EST 2011 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-009-9764-7· OSTI ID:21608790

Huimin, Li ^[1]; Shiyuan, Liu ^[2]

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1. Shanghai Jiaotong University School of Medicine, Department of Radiology, Xinhua Hospital (China)
2. Second Military Medical University, Department of Radiology, Changzheng Hospital (China)

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.

• OSTI ID: 21608790
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 34; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ACCIDENTS
ANTI-INFECTIVE AGENTS
ANTIBIOTICS
BODY
DIGESTIVE SYSTEM
DRUGS
ESOPHAGUS
GRAFTS
MEDICINE
ORGANIC COMPOUNDS
ORGANS
PATIENTS
SKELETON
SURGERY
TRANSPLANTS