ABSTRACT
We describe the case of a 41 year-old female patient with acute thoracic and epigastric pain associated with dysphagia. Due to the acute onset and the intensity of symptoms an urgent gastroscopy was requested. This was delayed and only performed when further serious complications appeared. This showed an oesophageal perforation due to ingestion of a fish bone, and an aortic pseudoaneurysm. Early determination of the cause and the extraction of fish bone would have avoided the subsequent worsening and long term stay in the hospital. Special tests limitations often delay diagnosis with severe consequences for the patients.
Subject(s)
Aneurysm, False/etiology , Aortic Aneurysm, Thoracic/etiology , Esophageal Perforation/complications , Adult , Animals , Bone and Bones , Esophageal Perforation/etiology , Female , Fishes , Foreign Bodies/complications , HumansABSTRACT
Se presenta el caso de una mujer de 41 años con dolor torácico y epigástrico agudo asociado a disfagia. Por el inicio agudo y la intensidad de los síntomas solicitamos que le realizaran una gastroscopia de forma urgente, aunque se retrasó y solo fue realizada cuando se presentaron complicaciones graves. El resultado fue una perforación esofágica debida a la ingestión de una espina de pescado y un seudoaneurisma de aorta. La rápida determinación de la causa y la extracción de la espina hubieran evitado las posteriores complicaciones y la prolongada estancia hospitalaria. Las limitaciones en las pruebas complementarias a menudo retrasan el diagnóstico con importantes consecuencias para los pacientes(AU)
We describe the case of a 41 year-old female patient with acute thoracic and epigastric pain associated with dysphagia. Due to the acute onset and the intensity of symptoms an urgent gastroscopy was requested. This was delayed and only performed when further serious complications appeared. This showed an oesophageal perforation due to ingestion of a fish bone, and an aortic pseudoaneurysm. Early determination of the cause and the extraction of fish bone would have avoided the subsequent worsening and long term stay in the hospital. Special tests limitations often delay diagnosis with severe consequences for the patients(AU)
