Document Detail

Vascular injury following foreign body perforation of the esophagus. Review of the literature and report of a case.
MedLine Citation:
PMID:  2204302     Owner:  NLM     Status:  MEDLINE    
Esophageal perforation resulting from foreign body ingestion is a rare occurrence. Most of the complications associated with this event, such as retroesophageal abscess, mediastinitis, pericarditis, pneumothorax, and pneumomediastinum, are widely recognized. However, little attention has been directed to the possibility of vascular injury caused by the perforating object. Isolated case reports have described significant morbidity and mortality subsequent to major vascular trauma resulting from an esophageal foreign body, usually emphasizing the presence of a "signal" hemorrhage from the gastrointestinal tract as a key to diagnosis. This report describes a case of esophageal perforation caused by an ingested fishbone that resulted in significant aerodigestive hemorrhage, possibly as the result of an unusual isolated vascular injury. The literature on vascular trauma following foreign body perforation of the esophagus is reviewed, and suggestions for the diagnosis and treatment of these dreaded complications are made.
R L Scher; C J Tegtmeyer; W C McLean
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  99     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1990-10-05     Completed Date:  1990-10-05     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  698-702     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health Sciences Center, Charlottesville.
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MeSH Terms
Blood Vessels / injuries
Esophageal Perforation / etiology*
Esophagus* / blood supply
Foreign Bodies / complications*,  radiography
Hemoptysis / etiology*

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