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Ann Thorac Surg 1993;56:969-971
© 1993 The Society of Thoracic Surgeons

Articles

Perforation of the esophagus by a fish bone leading to cardiac tamponade

Matthew G. Sharland, MB, BS, Brian C. McCaughan, FRACS*

Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, Australia

Accepted for publication December 9, 1992.

* Address reprint requests to Dr McCaughan, Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Missenden Rd, Camperdown, NSW 2050 Australia.

A 32-year-old woman swallowed a fish bone and presented to the hospital 3 days later with chest pain and fever. While in the hospital, she became hypotensive. A computed tomographic scan showed a fish bone penetrating from the esophagus into the pericardium. The fish bone was removed at urgent thoracotomy with immediate relief of her circulatory compromise. At the time of the operation, the fish bone was noted to be abrading the surface of the left atrium. We report this case of cardiac tamponade secondary to a perforated esophagus after foreign body ingestion.




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