Multidisciplinary Management of an Aorto-esophageal Injury Caused by Foreign Body Ingestion

Jenny Bui; Hadley Wilson; Luigi Pascarella; Jason Long

doi:10.1016/j.avsg.2020.10.039

Multidisciplinary Management of an Aorto-esophageal Injury Caused by Foreign Body Ingestion

Ann Vasc Surg. 2021 Apr:72:668.e1-668.e4. doi: 10.1016/j.avsg.2020.10.039. Epub 2020 Dec 14.

Authors

Jenny Bui¹, Hadley Wilson², Luigi Pascarella³, Jason Long²

Affiliations

¹ University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC. Electronic address: jason_long@med.unc.edu.
² University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC; Division of Cardiothoracic Surgery, Department of Surgery, Chapel Hill, NC.
³ University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC; Division of Vascular Surgery, Department of Surgery, Chapel Hill, NC.

PMID: 33333195
DOI: 10.1016/j.avsg.2020.10.039

Abstract

A 37-year-old incarcerated male ingested a complex "X-shaped" foreign body that resulted in a penetrating aorto-esophageal injury. A primary esophagotomy with retrieval of the foreign body and muscle flap closure was performed simultaneously with thoracic endovascular aortic repair. This multidisciplinary surgical approach controls for both immediate exsanguination and postoperative complications to improve patient outcome.

Publication types

Case Reports

MeSH terms

Adult
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / injuries
Aorta, Thoracic / surgery*
Blood Vessel Prosthesis Implantation* / instrumentation
Endovascular Procedures* / instrumentation
Esophagus / diagnostic imaging
Esophagus / injuries
Esophagus / surgery*
Foreign Bodies / complications
Foreign Bodies / diagnostic imaging
Foreign Bodies / surgery*
Humans
Male
Patient Care Team
Prisoners
Surgical Flaps*
Treatment Outcome
Vascular System Injuries / diagnostic imaging
Vascular System Injuries / etiology
Vascular System Injuries / surgery*