Delayed Pseudoaneuyrism Caused by Swallowed Fish Bone-Induced Esophageal Perforation -A Case Report-

Tadahiro Goto, Kentaro Kawasaki, Yasuyuki Kimura, Kiyonori Kanemitsu, Hirokazu Ohno, Takashi Kamigaki, Takao Ichihara, Hajime Ikuta and Yoshikazu Kuroda

Division of Gastroenterological Surgery, Graduate School of Medical Sciences, Kobe University

Esophageal perforation induced by fish bones is rare and no case of pseudoaneurysm caused by esophageal perforation has been reported to our knowledge. We report a case of delayed pseudoaneurysm of the aorta due to fish bone-induced esophageal perforation. A 71-year-old woman seen locally for a fever reported dyspnea and X-ray showed left pleural effusion after 2 days of follow-up. Despite combinations of broad-spectrum antibiotics and parenteral hyperalimentation, she grew worse. CT showed mediastinal emphysema and pleural effusion. Sepsis and empyema due to esophageal perforation necessitated emergency surgery. Removal of the fish bone and suction drainage of the thoracic cavity were done. Follow-up with CT on 4POD visualized pseudoaneurysm of the aorta. Pseudoaneurysm was treated by stent, and the postoperative course was uneventful. She was discharged 60 days after surgery.

Key words
esophageal perforation, fish bone, pseudoaneuyrism

Reprint requests
Tadahiro Goto Division of Gastroenterological Surgery, Graduate School of Medical Sciences, Kobe University
7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017 JAPAN

Accepted
May 25, 2005

To read the PDF file you will need Abobe Reader installed on your computer.