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Endoscopic extraction of a submucosal esophageal foreign body piercing into the thoracic aorta:A case report

World Journal of Clinical Cases 2022年第8期10卷 2484-2490页

作者： Zhi-Cao Chen Gui-Quan Chen Xiao-Chun Chen Chang-Ye Zheng Wei-Dong Cao Gang-Hao Deng Department of Gastroenterology Affiliated Dongguan HospitalSouthern Medical UniversityDongguan 523000Guangdong ProvinceChina Department of Radiology Affiliated Dongguan HospitalSouthern Medical UniversityDongguan 523000Guangdong ProvinceChina Department of Cardiovascular Surgery Affiliated Dongguan HospitalSouthern Medical UniversityDongguan 523000Guangdong ProvinceChina

BACKGROUND Aorto-esophageal injury is a rare but life-threatening complication of esophageal foreign bodies,which typically requires open *** best way to treat patients with this condition remains *** date,few reports have described an aortic wall directly penetrated by a sharp foreign ***,we present a rare case of a fishbone completely embedded in the esophageal muscularis propria and directly piercing the aorta,which was successfully treated by endoscopy and thoracic endovascular aortic repair(TEVAR).CASE SUMMARY We report the case of a 71-year-old man with a 1-d history of retrosternal pain after eating *** abnormal findings were observed by the emergency *** tomography showed a fishbone that had completely pierced through the esophageal mucosa and into the *** patient refused to undergo surgery for personal reasons and was *** days after the onset of illness,he was readmitted to our *** examination showed a nodule with a smooth surface in the middle of the *** ultrasonography confirmed a fishbone under the *** performing TEVAR,we incised the esophageal mucosa under an endoscope and successfully removed the *** patient has remained in good condition for 1 *** Incising the esophageal wall under endoscope and extracting a foreign body after TEVAR may be a feasible option for cases such as ours.

关键词： Endoscopy Esophageal foreign body Esophageal perforation aortic penetration Case report

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