Diagnosis and treatment of 32 cases with aortoesophageal fistula due to esophageal foreign body

Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention.Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention.Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.

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Diagnosis and treatment of nine cases with carotid artery rupture due to hypopharyngeal and cervical esophageal foreign body ingestion

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-012-2138-9 ◽

2012 ◽

Vol 270 (3) ◽

pp. 1125-1130 ◽

Cited By ~ 7

Author(s):

Shuang Wang ◽

Jiajia Liu ◽

Yuehong Chen ◽

Xinming Yang ◽

Dinghua Xie ◽

...

Keyword(s):

Foreign Body ◽

Carotid Artery ◽

Diagnosis And Treatment ◽

Foreign Body Ingestion ◽

Esophageal Foreign Body ◽

Carotid Artery Rupture

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Diagnosis and treatment of esophageal foreign body or stricture in three ferrets (Mustela putorius furo)

Journal of the American Veterinary Medical Association ◽

10.2460/javma.251.4.451 ◽

2017 ◽

Vol 251 (4) ◽

pp. 451-457 ◽

Cited By ~ 1

Author(s):

Joanna Webb ◽

Jennifer Graham ◽

Margaret Fordham ◽

Julie DeCubellis ◽

Faith Buckley ◽

...

Keyword(s):

Foreign Body ◽

Diagnosis And Treatment ◽

Esophageal Foreign Body ◽

Mustela Putorius ◽

Mustela Putorius Furo

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PRIMARY AORTOESOPHAGEAL FISTULA DUE TO ESOPHAGEAL FOREIGN BODY

Gastroenterology Nursing ◽

10.1097/sga.0000000000000612 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Jin-Wen Liao ◽

Wen-Xiu Long ◽

Wen-Li Shen

Keyword(s):

Foreign Body ◽

Aortoesophageal Fistula ◽

Esophageal Foreign Body

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Secondary Rupture of Aorta following the Surgical Management of Aortoesophageal Fistula

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230501300418 ◽

2005 ◽

Vol 13 (4) ◽

pp. 374-376 ◽

Cited By ~ 2

Author(s):

Tao Jin ◽

Guo-Wei Yu ◽

Liang Ma

Keyword(s):

Foreign Body ◽

Surgical Management ◽

Fish Bone ◽

Aortoesophageal Fistula ◽

Esophageal Foreign Body ◽

Postoperative Course ◽

Lessons Learnt

A patient suffering from an aortoesophageal fistula (AEF) caused by a fish bone, was treated in our institute in 2000. The operation was successful and the patient had an uneventful early postoperative course. However, the patient died of frank hematemesis on the 6th postoperative day due to secondary rupture of the aorta. The lessons learnt and surgical efforts to manage AEF caused by an esophageal foreign body are discussed.

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Esophageal Foreign Body Causing Direct Aortic Injury

Canadian Journal of Gastroenterology ◽

10.1155/2003/948232 ◽

2003 ◽

Vol 17 (2) ◽

pp. 115-117 ◽

Cited By ~ 16

Author(s):

ECS Lam ◽

JA Brown ◽

JS Whittaker

Keyword(s):

Foreign Body ◽

Esophageal Perforation ◽

Foreign Bodies ◽

Aortic Injury ◽

Fish Bone ◽

Aortoesophageal Fistula ◽

Esophageal Foreign Body ◽

Arterial Bleeding ◽

History Of ◽

Tomography Scan

Foreign bodies in the esophagus are uncommon causes of esophageal perforation. Many nonperforating cases are successfully managed by flexible gastroscopy. However, complicated foreign bodies such as those that result in esophageal perforation and vascular injury are best managed surgically. Gastroscopy remains the primary method of diagnosis. A case of a 59-year-old woman who developed retrosternal and intrascapular pain, odynophagia and hematemesis after eating fish is reported. Flexible gastroscopy showed arterial bleeding from the midthoracic esophagus. Computed tomography scan localized a 3 cm fish bone perforating the esophagus with surrounding hematoma. An aortogram did not reveal an actively bleeding aortoesophageal fistula. The fish bone was surgically removed and the patient recovered with no postoperative complications. This case illustrates the importance of early consideration for surgical intervention when confronted with a brisk arterial bleed from the esophagus with suggestive history of foreign body ingestion.

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