Images in Cardiothoracic Medicine and Surgery

Bilateral esophageal perforation complicating glass particle ingestion

Asian Cardiovascular & Thoracic Annals 2015, Vol. 23(8) 1001 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314531142 aan.sagepub.com

Theodoros Karaiskos1, Sokratis Tsagkaropoulos1,2 and George Drossos1

Figure 1. (a) Chest radiograph revealing a trapezoid foreign body (circle) in the upper mediastinum confused with the sternal manubrium. (b) Computed tomography identified a piece of glass in the upper thoracic esophagus lumen.

A 46-year-old woman was admitted to our emergency department after ingesting pieces of broken glass in an attempt to commit suicide (Figure 1). A minimal rupture of the esophageal wall was identified, but after glass removal, a second 0.5-cm rupture was discovered just opposite the initial one (Figure 2). Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Conflict of interest statement None declared.

Figure 2. (a) the piece of glass as seen during the esophagoscopic removal attempt. (b) Foreign body impaction was evident after esophageal wall opening (arrow). (c) After removal, a small opening was revealed in the posterior wall. (d) The extracted trapezoid glass formation measured approximally 35 mm.

1 General Hospital ‘‘G. Papanikolaou’’, Department of Cardiothoracic Surgery, Thessaloniki, Greece 2 University of Rome ‘‘Sapienza’’, Department of Thoracic Surgery, Rome, Italy

Corresponding author: Sokratis Tsagkaropoulos, General Hospital ‘‘G. Papanikolaou’’, Department of Cardiothoracic Surgery, Thessaloniki, Greece. Email: [email protected]

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Bilateral esophageal perforation complicating glass particle ingestion.

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