Ingested chicken bone leading to aorto-esophageal fistula

Authors

• Nawaf J. Shatnawi, Department of Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
• Kamal E. Bani-Hani, Associate Professor of Surgery, Department of Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, PO Box 3030, Jordan. Tel. +962 (79) 5500014. Fax. +962 (2) 7060300. E-mail: banihani60{at}yahoo.com

Abstract

We report a 38-year-old male patient who was referred to King Abdullah University Hospital, Irbid, Jordan with massive upper gastrointestinal bleeding. The bleeding proved to be due to aorto-esophageal fistula caused by accidental ingestion of a chicken wing bone 10 days earlier. The patient died during a salvage thoraco-laparotomy. Primary aorto-esophageal fistula is a very rare but catastrophic condition that is frequently missed preoperatively. A high index of suspicion is needed for early diagnosis, which might improve the chance of survival.

Article Type

Case Report

First Page

1442

Last Page

1444

Recommended Citation

Shatnawi, Nawaf J. and Bani-Hani, Kamal E. (2005) "Ingested chicken bone leading to aorto-esophageal fistula," Saudi Medical Journal: Vol. 26: Iss. 9, Article 23.
DOI: https://doi.org/10.15537/1658-3175.3123