Masahito Saito, Hiroki Nakamura, Ryohei Tsuji, Naoki Asano, Kazunori Ota, Kazuho Niimi, Hironaga Ogawa, Kei Torikai, Hiroshi Takano, Koichi Toda
A 51-year-old man visited to our hospital because of chest discomfort and hematemesis. He was diagnosed with Mallory-Weiss syndrome and followed in outpatient clinic. One week later, he visited our hospital again for fever and discomfort. Chest computed tomography (CT) showed a foreign body perforated in the mediastinum in the upper esophagus, and he was urgently hospitalized for surgical removal of esophageal foreign body. Before surgery he vomited the esophageal foreign body with a lot of blood. Hematemesis was stopped spontaneously and contrast-enhanced CT revealed a pseudoaneurysm in the distal aortic arch, so thoracic endovascular aortic repair (TEVAR) was performed to prevent rupture...
March 2024: Kyobu Geka. the Japanese Journal of Thoracic Surgery