Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202200121
Jornal Vascular Brasileiro
Case Report

Lesão transfixante de carótida por espinha de peixe - relato de caso

Carotid artery perforation by fish bone - a case report

José Julio Bechir Maués Filho; Heather Lynn Hauter Maués; Rafael Maia de Sousa; Luiz Nazareno França de Moura; Isabela Nascimento Duarte Rodrigues

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Resumo

Abstract: Accidental fish bone ingestion is a common complaint at emergency departments. The majority of cases have a benign course. However, serious complications such as esophagus perforation, cervical vessel injury and cervical abscess can occur in 7.4% of cases. Mortality rates can be as high as 50% when mediastinitis occurs. We report a case of an esophageal perforation caused by a fish bone with a lesion to the right common carotid artery after 20 days of evolution. Surgical exploration occurred with corrections of the lesion in the right common carotid and esophagus. Early identification of this kind of injury is paramount to prevent potentially fatal complications.

Palavras-chave

fish bone, carotid lesion, esophageal perforation

Abstract

Accidental fish bone ingestion is a common complaint at emergency departments. The majority of cases have a benign course. However, serious complications such as esophagus perforation, cervical vessel injury and cervical abscess can occur in 7.4% of cases. Mortality rates can be as high as 50% when mediastinitis occurs. We report a case of an esophageal perforation caused by a fish bone with a lesion to the right common carotid artery after 20 days of evolution. Surgical exploration occurred with corrections of the lesion in the right common carotid and esophagus. Early identification of this kind of injury is paramount to prevent potentially fatal complications.

Keywords

fish bone; carotid lesion; esophageal perforation.

References

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Submitted date:
01/26/2022

Accepted date:
02/28/2022

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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