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World J Gastroenterol. Oct 21, 2014; 20(39): 14510-14514
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14510
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14510
False esophageal hiatus hernia caused by a foreign body: A fatal event
Ya-Ping Lu, Ming Yao, Xu-Yan Zhou, Bing Huang, Department of Anesthesiology, First Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China
Wei-Bo Qi, Department of Cardiothoracic Surgery, First Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China
Zhi-Heng Chen, Department of Gastrointestinal Surgery, First Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China
Long-Sheng Xu, Department of Special Inspection, First Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China
Author contributions: Lu YP, Yao M, Qi WB, Chen ZH analyzed and interpreted the patient’s data; Lu YP, Yao M, Zhou XY, Huang B, Xu LS searched the literature for similar cases and wrote the manuscript; all authors read and approved the final manuscript.
Supported by the Key Discipline Construction Program of Integrative Pain Medicine of Traditional Chinese Medicine and Western Medicine of Zhejiang Province, China No. 2012-XK-A31, and Zhejiang Provincial Program for Cultivation of High-level Innovative Health Talents of the Health Department of Zhejiang Province, China No. 2012-RC-22
Correspondence to: Ming Yao, MD, PhD, Department of Anesthesiology, First Affiliated Hospital of Jiaxing University, 1882 Zhonghuan South Road, Jiaxing 314000, Zhejiang Province, China. jxyaoming@163.com
Telephone: +86-573-82082582 Fax: +86-573-82082582
Received: March 1, 2014
Revised: May 15, 2014
Accepted: June 21, 2014
Published online: October 21, 2014
Revised: May 15, 2014
Accepted: June 21, 2014
Published online: October 21, 2014
Core Tip
Core tip: Foreign body ingestion is associated with a variety of symptoms and complications, including perforation of the esophagus, perforation of the aorta, embedment in the thyroid gland, and perforation of the carotid artery. However, gastrointestinal accumulation has been rarely reported. The clinical symptoms and imaging data of the patient in the current case report are very similar with esophageal hiatal hernia. In the present case, the patient unknowingly ingested a fishbone shaped similarly to a distorted toothpick. The migrating bone caused lower esophageal perforation and upper gastrointestinal accumulation, an unusual presentation after foreign body ingestion.