Fish bone ingestion mimicking aortic dissection: a case report

IntroductionThe lodgement of fish bones during ingestion is a common complaint and can mimic other medical conditions such as aortic dissection. Case presentationIn this case a non-English speaking 63-year-old Chinese man presented to the emergency department with chest pain and hypotension.

Subsequent spiral computed tomography angiography ruled out aortic dissection but demonstrated a lodged fish bone tenting the oesophagus in the non-contrast phase.

Conclusion: This case highlights the importance of this imaging modality as well as the role of a good history in establishing an early diagnosis.

Author: Bjoern Kitzing and Yu Xuan Li
Credits/Source: Cases Journal 2008, 1:233

Published on: 2008-10-10

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