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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

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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

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Open Access
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Springerpflege

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

Abstract

Background

Case report

Conclusion

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Erratum zu: Unerwünschte Arzneimittelwirkungen und Medikationsfehler – was Akut- und Notfallmediziner wissen sollten

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