Fishbone penetration of the thoracic esophagus with prolonged asymptomatic impaction within the aorta Sheung-Fat Ko, MD, Hung-I Lu, MD, Shu-Hang Ng,

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Fishbone penetration of the thoracic esophagus with prolonged asymptomatic impaction within the aorta Sheung-Fat Ko, MD, Hung-I Lu, MD, Shu-Hang Ng, MD, Chia-Te Kung, MD Journal of Vascular Surgery Volume 57, Issue 2, Pages 518-520 (February 2013) DOI: 10.1016/j.jvs.2012.08.067 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Nonenhanced axial chest computed tomography (CT) showing mediastinal hemorrhage and a fishbone in the posterior mediastinum. B and C, Follow-up enhanced chest CT on day 2 in axial (B) and sagittal oblique (C) views showing a fishbone in the posterior mediastinum. However, definitive determination of whether the fishbone was located within or was closely abutting the thoracic esophageal wall was difficult. Journal of Vascular Surgery 2013 57, 518-520DOI: (10.1016/j.jvs.2012.08.067) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Follow-up nonenhanced chest computed tomography (CT) 6 months after discharge showing complete resolution of mediastinal hematoma and migration of the fishbone into the descending thoracic aorta. Journal of Vascular Surgery 2013 57, 518-520DOI: (10.1016/j.jvs.2012.08.067) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Follow-up enhanced chest computed tomography (CT) 6 years later showing impaction of the fishbone bone within the aorta but no contrast medium leakage or aneurysm formation. Journal of Vascular Surgery 2013 57, 518-520DOI: (10.1016/j.jvs.2012.08.067) Copyright © 2013 Society for Vascular Surgery Terms and Conditions