alexa Migration of a Steel Wire Leading to Cardiac Tamponade after Esophageal Perforation: A Case Report
ISSN: 2165-7548

Emergency Medicine: Open Access
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Case Report

Migration of a Steel Wire Leading to Cardiac Tamponade after Esophageal Perforation: A Case Report

Wei-Tao Liang1,2#, Su Wang1#, Jian Zhou1, Chen-Jun Han1, Qiang Liu1, Xiao-Yun Wu1 and Wang-Fu Zang1*

1Department of Cardiac Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, P.R. China

2Department of Cardiac Surgery, West China Hospital, Sichuan University School of Medicine, P.R. China

#authors contributed equally

*Corresponding Author:
Wang-Fu Zang, MD
Department of Cardiac Surgery
Shanghai Tenth People’s Hospital
Tongji University School of Medicine
No. 301 Yanchangzhong Road
Zabei District, Shanghai, 200072, P.R. China
Tel: +86 021-66302295
E-mail: [email protected]

Received Date: January 31, 2015; Accepted Date: February 09, 2015; Published Date: February 16, 2015

Citation: Liang WT, Wang S, Zhou J, Han CJ, Liu Q, et al. (2015) Migration of a Steel Wire Leading to Cardiac Tamponade after Esophageal Perforation: A Case Report. Emerg Med (Los Angel) 5: 241. doi:10.4172/2165-7548.1000241

Copyright: ©2015 Zang WF, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Migration of a foreign body to tissues outside the esophagus is rare but potentially lethal condition that requires prompt recognition and management to achieve a favorable outcome.

Case report: we report a rare case of cardiac tamponade caused by esophageal perforation after foreign body ingestion in a 48-year-old man. Once the computed tomography (CT) demonstrated a 1.8 cm foreign body penetrating from the esophagus into the pericardium, an urgent surgery was performed. The foreign body, a steel wire, was removed and the abraded surface of left ventricle was repaired. Fortunately, the patient has recovered and is doing well at the time of this writing.

Conclusion: The cardiac tamponade caused by esophageal perforation represents a life-threatening emergency, and delay in diagnosis can result in a significant increase in morbidity and mortality. Thus, timely identification and appropriate treatment would have a positive on patient’s outcome.

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