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Gut. 2007 June; 56(6): 814.
PMCID: PMC1954865

Dysphagia following fish bone ingestion

Monitoring Editor: Robin Spiller

Clinical presentation

A 43‐year‐old woman was admitted to our emergency department with dysphagia and chest pain that developed soon after swallowing a fish bone. Her medical history was unremarkable as was the physical examination, ECG and chest x ray. She was admitted and treatment with a proton pump inhibitor commenced. Upper endoscopy was arranged to evaluate her dysphagia after a sufficient period of fasting. A purplish bulging mass was found over the middle to lower third of the oesophagus (fig 11).). Chest CT scan was subsequently performed to confirm the diagnosis ((figsfigs 2 and 33).

figure gt100685.f1
Figure 1 Upper endoscopy of the patient.
figure gt100685.f2
Figure 2 Axial CT scan shows abnormal finding of the oesophagus (arrow).
figure gt100685.f3
Figure 3 Sagittal CT scan shows abnormal finding of the oesophagus (arrows).


What is the diagnosis?

See page 837 for answer

This case is submitted by:


Competing interests: None.

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