Silent pneumomediastinum after salmon ingestion -A clinical dilemma
<p dir="ltr">Esophageal perforation caused by accidental swallowing of foreign bodies in adults is a rare challenging emergency. Especially when the fish bone causing the perforation has been dislodged from esophagus and is missing in the images. We experienced such a case in an adul...
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2020
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| _version_ | 1864513559066574848 |
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| author | Pramod Chirakkal (14777380) |
| author2 | Amira Nasser Al Hail (17075269) Asharaf Ayinikunnan (17075272) |
| author2_role | author author |
| author_facet | Pramod Chirakkal (14777380) Amira Nasser Al Hail (17075269) Asharaf Ayinikunnan (17075272) |
| author_role | author |
| dc.creator.none.fl_str_mv | Pramod Chirakkal (14777380) Amira Nasser Al Hail (17075269) Asharaf Ayinikunnan (17075272) |
| dc.date.none.fl_str_mv | 2020-11-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.xocr.2020.100226 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Silent_pneumomediastinum_after_salmon_ingestion_-A_clinical_dilemma/24225661 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Salmon fish bone Silent pneumomediastinum Esophageal perforation Foreign body |
| dc.title.none.fl_str_mv | Silent pneumomediastinum after salmon ingestion -A clinical dilemma |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Esophageal perforation caused by accidental swallowing of foreign bodies in adults is a rare challenging emergency. Especially when the fish bone causing the perforation has been dislodged from esophagus and is missing in the images. We experienced such a case in an adult male patient who had perforated esophagus after unintentional ingestion of a salmon fish bone. The patient visited our emergency department complaining of difficulty in swallowing for 4 hours. A review of history revealed that he consumed a salmon fish 4 h ago. A plain x-ray soft tissue neck revealed suspicion of mediastinal air tracking and Computed tomography (CT) of neck confirmed the hyper dense concentric wall thickening of the upper esophageal lumen at the level of thoracic inlet and pneumomediastinum seen surrounding the trachea, esophagus, bilateral hilar region extending superiorly in to the neck, posterior to the right common carotid artery and inferiorly up to and surrounding the distal esophagus, also pneumomediastinum more pronounced around the level of aortic arch and below the thoracic duct. Conservative medical management was done with help of thoracic surgeon and discharged after 3 days with full recovery.</p><h2>Other Information</h2><p dir="ltr">Published in: Otolaryngology Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.xocr.2020.100226" target="_blank">https://dx.doi.org/10.1016/j.xocr.2020.100226</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_60f2dc1abefa3f437d197782b41662ef |
| identifier_str_mv | 10.1016/j.xocr.2020.100226 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24225661 |
| publishDate | 2020 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Silent pneumomediastinum after salmon ingestion -A clinical dilemmaPramod Chirakkal (14777380)Amira Nasser Al Hail (17075269)Asharaf Ayinikunnan (17075272)Biomedical and clinical sciencesClinical sciencesSalmon fish boneSilent pneumomediastinumEsophageal perforationForeign body<p dir="ltr">Esophageal perforation caused by accidental swallowing of foreign bodies in adults is a rare challenging emergency. Especially when the fish bone causing the perforation has been dislodged from esophagus and is missing in the images. We experienced such a case in an adult male patient who had perforated esophagus after unintentional ingestion of a salmon fish bone. The patient visited our emergency department complaining of difficulty in swallowing for 4 hours. A review of history revealed that he consumed a salmon fish 4 h ago. A plain x-ray soft tissue neck revealed suspicion of mediastinal air tracking and Computed tomography (CT) of neck confirmed the hyper dense concentric wall thickening of the upper esophageal lumen at the level of thoracic inlet and pneumomediastinum seen surrounding the trachea, esophagus, bilateral hilar region extending superiorly in to the neck, posterior to the right common carotid artery and inferiorly up to and surrounding the distal esophagus, also pneumomediastinum more pronounced around the level of aortic arch and below the thoracic duct. Conservative medical management was done with help of thoracic surgeon and discharged after 3 days with full recovery.</p><h2>Other Information</h2><p dir="ltr">Published in: Otolaryngology Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.xocr.2020.100226" target="_blank">https://dx.doi.org/10.1016/j.xocr.2020.100226</a></p>2020-11-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.xocr.2020.100226https://figshare.com/articles/journal_contribution/Silent_pneumomediastinum_after_salmon_ingestion_-A_clinical_dilemma/24225661CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/242256612020-11-01T00:00:00Z |
| spellingShingle | Silent pneumomediastinum after salmon ingestion -A clinical dilemma Pramod Chirakkal (14777380) Biomedical and clinical sciences Clinical sciences Salmon fish bone Silent pneumomediastinum Esophageal perforation Foreign body |
| status_str | publishedVersion |
| title | Silent pneumomediastinum after salmon ingestion -A clinical dilemma |
| title_full | Silent pneumomediastinum after salmon ingestion -A clinical dilemma |
| title_fullStr | Silent pneumomediastinum after salmon ingestion -A clinical dilemma |
| title_full_unstemmed | Silent pneumomediastinum after salmon ingestion -A clinical dilemma |
| title_short | Silent pneumomediastinum after salmon ingestion -A clinical dilemma |
| title_sort | Silent pneumomediastinum after salmon ingestion -A clinical dilemma |
| topic | Biomedical and clinical sciences Clinical sciences Salmon fish bone Silent pneumomediastinum Esophageal perforation Foreign body |