Related Experiment Video
Updated: Jun 25, 2026
06:12
Technical Aspects of the Mouse Aortocaval Fistula
Published on: July 11, 2013
Aortoesophageal fistula: a case report
David Tighe1, Andy Wood, Savita Kale
1Ear, Nose & Throat Department, Sandwell Hospital, Sandwell and West Birmingham NHS Trust, Lyndon, West Bromwich, West Midlands, UK. dft1@doctors.org.uk
Ear, Nose, & Throat Journal
|February 19, 2009
Summary
Foreign bodies in the upper aerodigestive tract require careful management. Consider advanced imaging for suspected esophageal perforation and be aware of vascular injury risks with sharp foreign bodies.
Area of Science:
- Otolaryngology
- Gastroenterology
- Radiology
Background:
- Foreign bodies in the upper aerodigestive tract are common presentations in Ear, Nose, and Throat (ENT) clinics.
- Management requires prompt and accurate diagnosis to prevent complications.
Observation:
- A case report detailing the challenges in diagnosing and managing impacted foreign bodies.
- Highlights the limitations of initial diagnostic imaging in certain scenarios.
Findings:
- A negative contrast swallow does not exclude esophageal perforation; contrast-enhanced computed tomography (CT) should be considered.
- Retained sharp foreign bodies in the mid-esophagus pose a risk for severe complications, including aortoesophageal fistula and major vascular injury.
Implications:
- Emphasizes the need for advanced imaging modalities when clinical suspicion for esophageal perforation is high.
- Alerts ENT physicians to the potential for life-threatening complications from retained esophageal foreign bodies, necessitating vigilant follow-up and management.
Related Concept Videos
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:26Esophageal Strictures-II: Clinical Features and Management
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
01:24Esophageal Varices-I: Introduction
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...