Esophageal perforation due to chicken bone ingestion: multidetector CT findings: A Case Report

Abstract

Esophageal perforation (EP) due to foreign body impaction requires early diagnosis and treatment in order to prevent life-threatening complications. EP in adults is most frequently caused by the impaction of meat, fish, and chicken bones. The common symptoms are sore throat, dysphagia, and vomiting, but in the presence of perforation, mediastinitis and other complications can occur. In our case, a 52-year-old man was admitted to the emergency room with a six-day history of sore throat and dysphagia after eating chicken. Computed tomographyof the thorax revealed a Y-shaped foreign body resembling the wishbone of a chicken. Mediastinal air secondary to esophageal perforation and further evidence of mediastinitis were also discovered with multidetector computed tomography (MDCT). This case shows that MDCT plays an important role in detecting esophageal foreign bodies and their complications.

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