Presentation
Intense epigastric pain radiating to the back after dinner of fish
Patient Data
Age: 60 years
Gender: Male
From the case:
Distal oesophageal perforation by a fishbone
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Right hemidiaphragm up with evidence of subtle transparency in the ipsilateral hemidiaphragm. Normal mediastinum.
From the case:
Distal oesophageal perforation by a fishbone
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Presence of pneumomediastinum with air most noticeable around the distal oesophagus.
There is a thin radiopaque foreign body arranged transversely to punctured oesophageal wall, referring to a fishbone.
After oral contrast, a small amount of extravasated contrast is seen in the distal oesophagus.
Case Discussion
Surgical repair of perforation with raffia.