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Erschienen in: Notfall + Rettungsmedizin 1/2021

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.
Literatur
4.
Zurück zum Zitat 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 126:408–414 CrossRef 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 126:408–414 CrossRef
7.
Zurück zum Zitat Ferreiro-Iglesias R, Blanco Freire MN, Paz Novo M, Dominguez Munoz JE (2017) Boerhaave’s syndrome: diagnostic gastroscopy. Rev Esp Enferm Dig 109:65–66 PubMed Ferreiro-Iglesias R, Blanco Freire MN, Paz Novo M, Dominguez Munoz JE (2017) Boerhaave’s syndrome: diagnostic gastroscopy. Rev Esp Enferm Dig 109:65–66 PubMed
10.
Zurück zum Zitat 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 51:736–739 CrossRef 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 51:736–739 CrossRef
11.
Zurück zum Zitat Sharland MG, McCaughan BC (1993) Perforation of the esophagus by a fish bone leading to cardiac tamponade. Ann Thorac Surg 56:969–971 CrossRef Sharland MG, McCaughan BC (1993) Perforation of the esophagus by a fish bone leading to cardiac tamponade. Ann Thorac Surg 56:969–971 CrossRef
12.
Zurück zum Zitat 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 75:195–199 CrossRef 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 75:195–199 CrossRef
14.
Zurück zum Zitat 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 13:4278–4281 CrossRef 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 13:4278–4281 CrossRef
15.
Zurück zum Zitat Sagrista Sauleda J, Permanyer Miralda G, Soler Soler J (2005) Diagnosis and management of acute pericardial syndromes. Rev Esp Cardiol 58:830–841 CrossRef Sagrista Sauleda J, Permanyer Miralda G, Soler Soler J (2005) Diagnosis and management of acute pericardial syndromes. Rev Esp Cardiol 58:830–841 CrossRef
17.
20.
Zurück zum Zitat 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 17:81–85 PubMed 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 17:81–85 PubMed
21.
Zurück zum Zitat 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):598–600 CrossRef 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):598–600 CrossRef
22.
Zurück zum Zitat Yang X, Shen X (2006) A piece of glass in the heart. Ann Thorac Surg 81(1):335–336 CrossRef Yang X, Shen X (2006) A piece of glass in the heart. Ann Thorac Surg 81(1):335–336 CrossRef
23.
Zurück zum Zitat Steiner J, Dhingra R, Devries JT (2012) Needle in the haystack: purulent pericarditis from injection drug use. Catheter Cardiovasc Interv 80(3):493–496 CrossRef Steiner J, Dhingra R, Devries JT (2012) Needle in the haystack: purulent pericarditis from injection drug use. Catheter Cardiovasc Interv 80(3):493–496 CrossRef
Metadaten
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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