Maués José Julio Bechir, Maués Heather Lynn Hauter, de Sousa Rafael Maia, de Moura Luiz Nazareno França, Rodrigues Isabela Nascimento Duarte
Hospital Jean Bitar, Belém, PA, Brasil.
Hospital Ophir Loyola, Belém, PA, Brasil.
J Vasc Bras. 2022 Jun 27;21:e20220012. doi: 10.1590/1677-5449.202200121. eCollection 2022.
Accidental fish bone ingestion is a common complaint at emergency departments. The majority of cases have a benign course. However, serious complications such as esophagus perforation, cervical vessel injury and cervical abscess can occur in 7.4% of cases. Mortality rates can be as high as 50% when mediastinitis occurs. We report a case of an esophageal perforation caused by a fish bone with a lesion to the right common carotid artery after 20 days of evolution. Surgical exploration occurred with corrections of the lesion in the right common carotid and esophagus. Early identification of this kind of injury is paramount to prevent potentially fatal complications.
意外吞食鱼骨是急诊科常见的就诊原因。大多数病例病程良性。然而，7.4%的病例可能会出现严重并发症，如食管穿孔、颈血管损伤和颈部脓肿。发生纵隔炎时死亡率可高达50%。我们报告一例鱼骨导致食管穿孔的病例，病程20天后右侧颈总动脉出现损伤。进行了手术探查，修复了右侧颈总动脉和食管的损伤。早期识别此类损伤对于预防潜在的致命并发症至关重要。
