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

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

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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