Cervical oesophageal perforation secondary to food consumption in a well-appearing patient

Alexander L. Schneider*, Katherine E. Hicks, Akihiro J. Matsuoka

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A 71-year-old woman presented to the emergency department 8 days after ingesting fish with mild neck pain but otherwise demonstrated no signs of infection. X-rays were negative but CT imaging demonstrated a curvilinear radiodense object extending from the posterior cervical oesophagus through the right thyroid lobe terminating in the neck just a few millimetres from the external carotid artery. Rigid oesophagoscopy and direct laryngoscopy were negative and the neck was explored for the foreign body, which ultimately was encountered after a painstaking dissection of the right neck that included skeletonisation of the recurrent laryngeal nerve. Her postoperative recovery was uneventful and after a 3-day course of intravenous antibiotics she was discharged on oral antibiotics, in good condition and tolerating a soft diet.

Original languageEnglish (US)
Article number261
JournalBMJ case reports
Volume2017
DOIs
StatePublished - Jan 1 2017

Keywords

  • ear, nose and throat/otolaryngology
  • head and neck surgery
  • oesophagus
  • otolaryngology / ent

ASJC Scopus subject areas

  • Medicine(all)

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