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Notfall + Rettungsmedizin

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22.04.2021 | Kasuistiken

Fish bone leads to acute pericarditis: correct diagnosis and successful treatment

verfasst von: Lu Gao, Prof. Liping Chen

Erschienen in: Notfall + Rettungsmedizin | Sonderheft 1/2021

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Abstract

Background

Although esophageal perforation rarely occurs after foreign body ingestion, perforations in the esophagus can lead to serious complications such as pericarditis.

Case report

This is a case report of a 48-year-old man without any cardiovascular risk factors who presented to the emergency department with chest pain. The typical electrocardiogram and thoracic computed tomography changes were helpful in establishing the diagnosis of acute pericarditis, which was due to the migration of a fish bone through the esophagus and extending into the left atrium.

Conclusion

We successfully diagnosed this patient with acute pericarditis, which was due to the migration of a fish bone through the esophagus and extending into the left atrium. Our thoracic surgeon colleagues removed the foreign body via thoracotomy. He was extubated on day 11, and no chest pain or dyspnea during a six-month follow-up period. A review of the literature revealed similar cases with unsuspected foreign body ingestion, in which the patients presented to the emergency department with various symptoms suggestive of acute pericarditis.

Vorheriger Artikel Effect of using barrier devices on intubation times and performance—a randomized, prospective, crossover manikin study

Nächster Artikel Erratum zu: Diagnostik und Therapie der akuten Lungenembolie. Zusammenfassung der aktuellen Leitlinien 2019 der Europäischen Gesellschaft für Kardiologie

Duman H, Bakirci EM, Karadag Z, Ugurlu Y (2014) Esophageal rupture complicated by acute pericarditis. Turk Kardiyol Dern Ars 42:658–661. https://doi.org/10.5543/tkda.2014.26350CrossRefPubMed

Chiabrando JG, Bonaventura A, Vecchie A, Wohlford GF, Mauro AG, Jordan JH, Grizzard JD, Montecucco F, Berrocal DH, Brucato A et al (2020) Management of acute and recurrent pericarditis: JACC state-of-the-art review. J Am Coll Cardiol 75:76–92. https://doi.org/10.1016/j.jacc.2019.11.021CrossRefPubMed

Ismail TF (2020) Acute pericarditis: update on diagnosis and management. Clin Med 20:48–51. https://doi.org/10.7861/clinmed.cme.20.1.4CrossRef

Actis Dato GM, Arslanian A, Di Marzio P, Filosso PL, Ruffini E (2003) Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature. J Thorac Cardiovasc Surg 126:408–414CrossRef

Zoltowska DM, Agrawal Y, Kalavakunta JK, Gupta V (2018) Nail to the heart: no big deal. A rare case of post-traumatic pericarditis. BMJ Case Rep. https://doi.org/10.1136/bcr-2017-223220CrossRefPubMedPubMedCentral

Wang QQ, Hu Y, Zhu LF, Zhu WJ, Shen P (2019) Fish bone-induced myocardial injury leading to a misdiagnosis of acute myocardial infarction: a case report. World J Clin Cases 7:3335–3340. https://doi.org/10.12998/wjcc.v7.i20.3335CrossRefPubMedPubMedCentral

Ferreiro-Iglesias R, Blanco Freire MN, Paz Novo M, Dominguez Munoz JE (2017) Boerhaave’s syndrome: diagnostic gastroscopy. Rev Esp Enferm Dig 109:65–66PubMed

Zhang C, Hu J, Ni Y, Xu H (2006) Successful salvage of post-traumatic metallic foreign body partially retained in the posterior papillary muscle of the left ventricle. Interact CardioVasc Thorac Surg 5:507–508. https://doi.org/10.1510/icvts.2005.128017CrossRefPubMed

Boo SJ, Kim HU (2018) Esophageal foreign body: treatment and complications. Korean J Gastroenterol 72:1–5. https://doi.org/10.4166/kjg.2018.72.1.1CrossRefPubMed

10.

Shimamoto C, Hirata I, Umegaki E, Katsu K (2000) Closure of an esophageal perforation due to fish bone ingestion by endoscopic clip application. Gastrointest Endosc 51:736–739CrossRef

11.

Sharland MG, McCaughan BC (1993) Perforation of the esophagus by a fish bone leading to cardiac tamponade. Ann Thorac Surg 56:969–971CrossRef

12.

Mamede RC, Amaral F, Raimundo DG, Freitas LC, Ricz HM, Mello Filho FV (2009) Do foreign bodies migrate through the body towards the heart? Braz J Otorhinolaryngol 75:195–199CrossRef

13.

Koyuncu N, Yilmaz S, Soysal S (2007) An unusual cause of chest pain: foreign body in the oesophagus. Emerg Med J 24:e1. https://doi.org/10.1136/emj.2006.035923CrossRefPubMedPubMedCentral

14.

Liu YY, Tseng JH, Yeh CN, Fang JT, Lee HL, Jan YY (2007) Correct diagnosis and successful treatment for pericardial effusion due to toothpick injury: a case report and literature review. World J Gastroenterol 13:4278–4281CrossRef

15.

Sagrista Sauleda J, Permanyer Miralda G, Soler Soler J (2005) Diagnosis and management of acute pericardial syndromes. Rev Esp Cardiol 58:830–841CrossRef

16.

Park JH, Choo SJ, Park SW (2005) Images in cardiovascular medicine. Acute pericarditis caused by acrylic bone cement after percutaneous vertebroplasty. Circulation 111:e98. https://doi.org/10.1161/01.CIR.0000155502.90653.A5CrossRefPubMed

17.

Birk M, Bauerfeind P, Deprez PH, Hafner M, Hartmann D, Hassan C, Hucl T, Lesur G, Aabakken L, Meining A (2016) Removal of foreign bodies in the upper gastrointestinal tract in adults: European society of gastrointestinal endoscopy (ESGE) clinical guideline. Endoscopy 48:489–496. https://doi.org/10.1055/s-0042-100456CrossRefPubMed

18.

Altokhais TI, Al-Saleem A, Gado A, Al-Qahtani A, Al-Bassam A (2017) Esophageal foreign bodies in children: emphasis on complicated cases. Asian J Surg 40:362–366. https://doi.org/10.1016/j.asjsur.2015.12.008CrossRefPubMed

19.

Huu Vinh V, Viet Dang Quang N, Van Khoi N (2019) Surgical management of esophageal perforation: role of primary closure. Asian Cardiovasc Thorac Ann 27:192–198. https://doi.org/10.1177/0218492319827439CrossRefPubMed

20.

Tsalis K, Vasiliadis K, Tsachalis T, Christoforidis E, Blouhos K, Betsis D (2008) Management of Boerhaave’s syndrome: report of three cases. J Gastrointestin Liver Dis 17:81–85PubMed

21.

Nishida S, Tomita S, Watanabe G, Yasuda T, Iino K, Arai S (2005) Intramyocardial foreign body: sewing needle with the uncommon clinical feature of constrictive pericarditis. Jpn J Thorac Cardiovasc Surg 53(11):598–600CrossRef

22.

Yang X, Shen X (2006) A piece of glass in the heart. Ann Thorac Surg 81(1):335–336CrossRef

23.

Steiner J, Dhingra R, Devries JT (2012) Needle in the haystack: purulent pericarditis from injection drug use. Catheter Cardiovasc Interv 80(3):493–496CrossRef

Titel: Fish bone leads to acute pericarditis: correct diagnosis and successful treatment
verfasst von: Lu Gao
Prof. Liping Chen
Publikationsdatum: 22.04.2021
Verlag: Springer Medizin
Erschienen in: Notfall + Rettungsmedizin / Ausgabe Sonderheft 1/2021
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI: https://doi.org/10.1007/s10049-021-00872-2

Springerpflege

Abstract

Background

Case report

Conclusion

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