CASE 792: FISHBONE PENETRATED the ESOPHAGUS GOING to the MEDIASTINUM and REENTERING the ESOPHAGUS , Dr PHAN THANH HẢI, Dr LÊ HỮU LINH, Dr HỒ KHÁNH ĐỨC, BINH DAN HOSPITAL and MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A  41 year-old woman misswallowed a fishbone for 5 days.

In Medic Center, MSCT and upper GI endoscopy detected a fishbone penetrating her esophagus which was going to the mediastinum and may enter the descending thoracic aorta.

 

At the emergency department of Binh Dan hospital, an open surgery for thorax was done. The result showed not any thoracic aorta lesion nor fishbone inside the mediastinum.

But the C-arm on the operation table revealed the fishbone changing its direction from transversal to longitudinal position.

An endoscopy was performed in the operation detected the fishbone coming back to the esophagus. And it was removed successfully by via endoscopy.

Fishbone came back to the esophagus is an incredible event. Patient and doctors were stunned by the fact that may have to go through an operation for reconstruction the thoracic aorta in finding the fishbone somewhere, but fortunately not have to do.