Distal oesophageal perforation by a fishbone

Case contributed by Dr Domenico Nicoletti

Presentation

Intense epigastric pain radiating to the back after dinner of fish

Patient Data

Age: 60
Gender: Male
Modality: X-ray

Right hemidiaphragm up with evidence of subtle transparency in the ipsilateral hemidiaphragm. Normal mediastinum.

Modality: CT

Presence of pneumomediastinum with air most noticeable around the distal esophagus.
Direct examination shows thin radiopaque training arranged transversely to puncture the esophageal wall, referring to a fishbone.

Case Discussion

Surgical repair of perforation with raffia.

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Case Information

rID: 30027
Case created: 12th Jul 2014
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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