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Case Report Open Access
The presence of an oesophageal foreign body is a medical emergency requiring urgent evaluation and treatment and in cases with complications such as migration of foreign body or oesophageal perforation, surgical intervention may be necessary. We present a case of a 23 year old Chinese female with no significant past medical history who presented to the emergency department with central chest discomfort for a week. She had throat discomfort prior which started after she accidentally swallowed a small piece of cockle shell while eating. CXR and lateral neck X-ray were done which did not reveal any abnormalities. A referral was made to the ENT team to rule out the possibility of a foreign body, and a nasoendoscopy was performed which did not reveal any abnormalities. In view of her persistent symptoms, a CT chest was performed which revealed a curvilinear radio dense opacity at the aortopulmonary window measuring 1.0cm, which is suspicious for a foreign body. The differential for a radio dense opacity in the aorto-pulmonary window is calcification of the ligamentum arteriosum, which was the final diagnosis after exclusion with further investigations inpatient.
Oesophageal, Foreign body, Calcified ligamentum arteriosum, Clinical Pediatric Emergency Medicine, Clinical Procedures in Emergency Medicine, Critical Decisions in Emergency Medicine, Emergency Care and Medicine, Emergency Care Nursing, Emergency Care Practice, Emergency Critical Care, Emergency Drugs, Emergency Internal Medicine