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Perforation of the oesophagus and aorta after eating fish: an unusual cause of chest pain

Horton Hospital, Oxford Radcliffe Hospitals NHS Trust, Banbury, UK

Correspondence to:
Correspondence to:
Dr G George, Accident and Emergency Department, The Horton Hospital, Oxford Radcliffe Hospitals NHS Trust, Oxford Road, Banbury, Oxfordshire OX16 9AL, UK;
grizelda.george{at}orh.nhs.uk

ABSTRACT
This report describes perforation of the oesophagus after eating fish complicated by perforation of the aorta six days later. The patient had not knowingly swallowed a fish bone. Aorto-oesophageal fistula is almost universally fatal. In the case described here, the fistula was demonstrated on contrast computed tomography before surgery, thus informing surgical management. The patient is the eighth reported survivor.

Keywords: aorto-oesophageal fistula; fish bone; perforation

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