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Fish bone ingestion mimicking aortic dissection: a case report.

Kitzing B, Li YX - Cases J (2008)

Bottom Line: In this case a non-English speaking 63-year-old Chinese man presented to the emergency department with chest pain and hypotension.Subsequent spiral computed tomography angiography ruled out aortic dissection but demonstrated a lodged fish bone tenting the oesophagus in the non-contrast phase.This case highlights the importance of this imaging modality as well as the role of a good history in establishing an early diagnosis.

View Article: PubMed Central - HTML - PubMed

Affiliation: Westmead Hospital, Cnr Hawkesbury and Darcy Roads, Sydney, New South Wales, Australia. bkitzing@gmail.com.

ABSTRACT

Introduction: The lodgement of fish bones during ingestion is a common complaint and can mimic other medical conditions such as aortic dissection.

Case presentation: In this case a non-English speaking 63-year-old Chinese man presented to the emergency department with chest pain and hypotension. Subsequent spiral computed tomography angiography ruled out aortic dissection but demonstrated a lodged fish bone tenting the oesophagus in the non-contrast phase.

Conclusion: This case highlights the importance of this imaging modality as well as the role of a good history in establishing an early diagnosis.

No MeSH data available.


Related in: MedlinePlus

Select axial image of non-contrast phase CT showing a fish bone measuring 3 cm in the oesophagus.
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Figure 1: Select axial image of non-contrast phase CT showing a fish bone measuring 3 cm in the oesophagus.

Mentions: The chest radiograph obtained showed no abnormalities. 4 hours after admission the patient became hypotensive (systolic blood pressure was 80) and bradycardic (50 beats/min). Due to concerns for an underlying aortic dissection, a CT spiral angiography (Fig. 1 and 2) was ordered.


Fish bone ingestion mimicking aortic dissection: a case report.

Kitzing B, Li YX - Cases J (2008)

Select axial image of non-contrast phase CT showing a fish bone measuring 3 cm in the oesophagus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2572045&req=5

Figure 1: Select axial image of non-contrast phase CT showing a fish bone measuring 3 cm in the oesophagus.
Mentions: The chest radiograph obtained showed no abnormalities. 4 hours after admission the patient became hypotensive (systolic blood pressure was 80) and bradycardic (50 beats/min). Due to concerns for an underlying aortic dissection, a CT spiral angiography (Fig. 1 and 2) was ordered.

Bottom Line: In this case a non-English speaking 63-year-old Chinese man presented to the emergency department with chest pain and hypotension.Subsequent spiral computed tomography angiography ruled out aortic dissection but demonstrated a lodged fish bone tenting the oesophagus in the non-contrast phase.This case highlights the importance of this imaging modality as well as the role of a good history in establishing an early diagnosis.

View Article: PubMed Central - HTML - PubMed

Affiliation: Westmead Hospital, Cnr Hawkesbury and Darcy Roads, Sydney, New South Wales, Australia. bkitzing@gmail.com.

ABSTRACT

Introduction: The lodgement of fish bones during ingestion is a common complaint and can mimic other medical conditions such as aortic dissection.

Case presentation: In this case a non-English speaking 63-year-old Chinese man presented to the emergency department with chest pain and hypotension. Subsequent spiral computed tomography angiography ruled out aortic dissection but demonstrated a lodged fish bone tenting the oesophagus in the non-contrast phase.

Conclusion: This case highlights the importance of this imaging modality as well as the role of a good history in establishing an early diagnosis.

No MeSH data available.


Related in: MedlinePlus