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oai:hiroshima.repo.nii.ac.jp:02013746 2025-02-26T05:38:57Z 1727147343679:1730442224523:1730442234407

A Rare Case Oesophageal Perforation by a Fish Bone, Leading to Pericardial Penetration and Cardiac Tamponade Chikuie, Emi Chikuie Emi Fugisaki, Seiji Fugisaki Seiji Fukuhara, Soutarou Fukuhara Soutarou Imaoka, Kouki Imaoka Kouki Hirata, Yuzo Hirata Yuzo Fukuda, Saburo Fukuda Saburo Takahashi, Mamoru Takahashi Mamoru Sakai, Hiroshi Sakai Hiroshi Sueshiro, Masafumi Sueshiro Masafumi Sakimoto, Hideto Sakimoto Hideto open access Copyright (c) 2018 Hiroshima University Medical Press oesophageal perforation fish bone pericardial penetration and cardiac tamponade 490 An 82-year-old woman swallowed a fish bone and presented to our hospital 3 days later when she had breathing difficulty and became hypotensive. Chest computed tomography (CT) showed a linear structure with high bone density extending from the oesophagus into the pericardium, along with pericardial effusion, air, and a left pleural effusion. We diagnosed the patient with oesophageal perforation by a foreign body (a fish bone) leading to pericardial penetration, cardiac tamponade, and left empyema. The patient underwent emergency surgery. Pericardial fenestration and drainage of the pericardial and thoracic cavities were performed. Chest CT showed a recurrent abscess cavity in the pericardium on day 6. A pigtail catheter was placed in the recurrent abscess cavity under CT guidance for drainage. The patient gradually improved and was discharged after 5 months. Hiroshima University Medical Press 2018-06 eng departmental bulletin paper VoR https://hiroshima.repo.nii.ac.jp/records/2013746 10.24811/hjms.67.2_47 https://doi.org/10.24811/hjms.67.2_47 0018-2052 2433-7668 AA00664312 Hiroshima Journal of Medical Sciences Hiroshima Journal of Medical Sciences 67 2 47 47 49 https://hiroshima.repo.nii.ac.jp/record/2013746/files/HiroshimaJMedSci_67_47.pdf 376.9 KB