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

Downloads: 2
Views: 924

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

1 Fontes EB, Vidal MG, Rode J, da Silva RB, Kahlbeck A. Foreign body ingestion as a cause of a common carotid artery pseudoaneurysm. Rev Bras Otorrinolaringol. 2019;85(4):534-7. http://dx.doi.org/10.1016/j.bjorl.2016.03.010. PMid:27212587.

2 Costa L, Larangeiro J, Pinto Moura C, Santos M. Foreign body ingestion: rare cause of cervical abscess. Acta Med Port. 2014;27(6):743-8. http://dx.doi.org/10.20344/amp.5371. PMid:25641290.

3 Lee YJ, Park CR, Kim JW, et al. The hemoptysis and the subclavian artery pseudoaneurysm due to a fishbone injury. Medicine. 2015;94(42):e1821. http://dx.doi.org/10.1097/MD.0000000000001821. PMid:26496319.

4 Wang S, Liu J, Chen Y, Yang X, Xie D, Li S. Diagnosis and treatment of nine cases with carotid artery rupture due to hypopharyngeal and cervical esophageal foreign body ingestion. Eur Arch Otorhinolaryngol. 2013;270(3):1125-30. http://dx.doi.org/10.1007/s00405-012-2138-9. PMid:22886383.

5 Mathur NN, Joshi RR, Nepal A, Rauniyar RK. Common carotid artery pseudoaneurysm formation following foreign body ingestion. J Laryngol Otol. 2010;124(6):684-6. http://dx.doi.org/10.1017/S0022215109992283. PMid:20003600.

6 Kim JE, Ryoo SM, Kim YJ, et al. Incidence and clinical features of esophageal perforation caused by ingested foreign body. Korean J Gastroenterol. 2015;66(5):255-60. http://dx.doi.org/10.4166/kjg.2015.66.5.255. PMid:26586347.

7 Jahshan F, Sela E, Layous E, et al. Clinical criteria for CT scan evaluation of upper digestive tract fishbone. Laryngoscope. 2018;128(11):2467-72. http://dx.doi.org/10.1002/lary.27125. PMid:29446458.

8 McCabe A, Patton A, Salter N. It’s a cod! Finding Nemo (impacted fishbone) in the emergency department. BMJ Case Rep. 2017;2017:bcr-2017-220869. http://dx.doi.org/10.1136/bcr-2017-220869. PMid:28623244.

9 Park S, Choi DS, Shin HS, et al. Fish bone foreign bodies in the pharynx and upper esophagus: evaluation with 64-slice MDCT. Acta Radiol. 2014;55(1):8-13. http://dx.doi.org/10.1177/0284185113493087. PMid:23884842.

10 Bathla G, Teo LL, Dhanda S. Pictorial essay: complications of a swallowed fish bone. Indian J Radiol Imaging. 2011;21(1):63-8. http://dx.doi.org/10.4103/0971-3026.76061. PMid:21431037.

11 Tao K, Cheng H, Hu Z, Kong M. An aorto-oesophageal fistula treated with endovascular aortic repair: the fate of untreated oesophageal lesion on endoscopic follow-up. Interact Cardiovasc Thorac Surg. 2017;25(6):990-2. http://dx.doi.org/10.1093/icvts/ivx167. PMid:29049528.

12 Schneider AL, Hicks KE, Matsuoka AJ. Cervical oesophageal perforation secondary to food consumption in a well-appearing patient. BMJ Case Rep. 2017;2017:bcr2017222576. http://dx.doi.org/10.1136/bcr-2017-222576. PMid:29167221.
 


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)">
62b4edd2a953950c277d58f5 jvb Articles

J Vasc Bras

Share this page
Page Sections