CASE 774: THORACIC AORTIC PENETRATION DUE TO A FISH BONE, Dr PHAN THANH HẢI, Dr PHAN THANH VIỆT BÌNH , and FELLOW DOCTORS from BINH DAN HOSPITAL, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 

A 35 year-old woman with chest pain for 5 days who failed in gastritis management.

Abdominal ultrasound was nothing, but GI endoscopy detected 1/3 midle of esophagus in edema and narrowing of the lumen that may be perforated by a foreign body. The endoscopic examination must be stopped in waiting for a MSCT.

MSCT revealed a #34×2 mm fish bone which penetrated the esophageal wall to the thoracic aorta that made a critical pseudoaneurysm of the thoracic aorta.

The female patient was transmitted rapidly to Binh dan hospital. A planed management was conducted in emergency for reconstructing the thoracic aorta, sewing the hole of  the thoracic esophageal perforation and removing the fish bone.

Thoracic surgery was done successfully for reconstructing the thoracic pseudoaneurysm,

sewing the penetrated esophageal wall

and removed the fish bone with 2 sharp ends.

The woman remains well post op.

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