Successful treatment of left subclavian artery penetration due to ingestion of a safety pin by an elderly person.

Autor: Shibata T; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Tsukamoto N; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Fukuda H; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Nabeta Y; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Kurosawa K; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Matsunari O; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Takenaka R; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Kanezaki S; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Ishii K; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan., Sakamoto T; Advanced Trauma Emergency and Critical Care Center Oita University Oita Japan.
Jazyk: angličtina
Zdroj: Acute medicine & surgery [Acute Med Surg] 2020 Jun 11; Vol. 7 (1), pp. e526. Date of Electronic Publication: 2020 Jun 11 (Print Publication: 2020).
DOI: 10.1002/ams2.526
Abstrakt: Background: Ingestion cases are increasing in elderly persons. Herein, we report a rare case of ingestion of a safety pin by an elderly person.
Case Presentation: The patient was an 87-year-old bedridden woman who had fever with left pleural effusion. Chest X-ray revealed a foreign body, confirmed to be a safety pin, in the cervical esophagus. A contrast multidetector row computed tomography scan revealed that the opened safety pin penetrated the left subclavian artery, leading to the diagnosis of an esophageal foreign body penetrating the left subclavian artery. The safety pin was removed, and the subclavian artery aneurysm caused by the penetration was embolized by interventional radiology. After treatment, she was returned to the nursing home on postoperative day 8.
Conclusion: Penetration by ingestion of a safety pin is rare; in this case, safe treatment was possible due to a team of certified specialist physicians and surgeons.
Competing Interests: Approval of the research protocol: N/A. Informed consent: Informed consent was provided by the patient’s family to publish this case. Registry and the registration no. of the study/trial: N/A. Animal studies: N/A. Conflict of interest: None.
(© 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.)
Databáze: MEDLINE
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