This
is a case of a 73 year old who ate fish for dinner and felt she
swallowed a bone. The "chocking" sensation did not clear
and even worsened as the night progresses. She had no history of
neck trauma..
On lateral X-Ray three
abnormalities were found:
A fractured cervical spine.
A fish bone foreign body.
Air between the esophagous
and cervical spine.
The air was felt to represent a
perforation caused by the fish bone. Emergency endoscopy was
performed, with great care given to the neck.
The
fish bone was removed with an endoscope, but the patient did not have a perforation, but
instead had a Zenker's Diverticulum. The diverticulum is shown in
a post-operative barium swallow as a large pouch like accumulation of
barium in the neck.
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04/04/2008
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