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Related Experiment Videos

Fish bone fistulae.

J L Stolz, H Chamorro, P H Arger

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |April 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    A fish bone lodged in the adult cervical esophagus caused a rare common carotid artery false aneurysm and fistula. This previously unreported complication highlights the potential severity of esophageal foreign bodies.

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    Area of Science:

    • Otolaryngology
    • Vascular Surgery
    • Gastroenterology

    Background:

    • Esophageal foreign bodies are common, but rarely lead to vascular complications.
    • Cervical esophageal impaction can pose unique diagnostic and management challenges.

    Purpose of the Study:

    • To report a unique case of a fish bone causing a common carotid artery false aneurysm with an esophageal fistula.
    • To emphasize the importance of considering vascular complications in patients with esophageal foreign bodies.

    Main Methods:

    • Case report of an adult patient presenting with symptoms suggestive of a foreign body.
    • Diagnostic workup including imaging to identify the foreign body and associated vascular injury.
    • Surgical and/or endovascular management of the aneurysm and fistula.

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    Main Results:

    • A fish bone was identified as the cause of the cervical esophageal foreign body.
    • A common carotid artery false aneurysm with a fistula to the esophagus was diagnosed.
    • Successful management of the vascular complication was achieved.

    Conclusions:

    • Fish bone impaction in the cervical esophagus can lead to life-threatening vascular complications such as false aneurysms and fistulas.
    • Prompt diagnosis and multidisciplinary management are crucial for favorable outcomes.
    • This case underscores the need for heightened awareness among clinicians regarding rare esophageal foreign body complications.