Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2022; 10(8): 2484-2490
Published online Mar 16, 2022. doi: 10.12998/wjcc.v10.i8.2484
Endoscopic extraction of a submucosal esophageal foreign body piercing into the thoracic aorta: A case report
Zhi-Cao Chen, Gui-Quan Chen, Xiao-Chun Chen, Chang-Ye Zheng, Wei-Dong Cao, Gang-Hao Deng
Zhi-Cao Chen, Gui-Quan Chen, Xiao-Chun Chen, Department of Gastroenterology, Affiliated Dongguan Hospital, Southern Medical University, Dongguan 523000, Guangdong Province, China
Chang-Ye Zheng, Department of Radiology, Affiliated Dongguan Hospital, Southern Medical University, Dongguan 523000, Guangdong Province, China
Wei-Dong Cao, Gang-Hao Deng, Department of Cardiovascular Surgery, Affiliated Dongguan Hospital, Southern Medical University, Dongguan 523000, Guangdong Province, China
Author contributions: Chen GQ designed the report and performed the endoscopic surgery; Chen XC collected the patient’s clinical data; Chen ZC analyzed the data and wrote the paper; Zheng CY performed the CT imaging analysis; Cao WD and Deng GH performed the TEVAR surgery.
Informed consent statement: Informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gui-Quan Chen, MD, Chief Doctor, Department of Gastroenterology, Affiliated Dongguan Hospital, Southern Medical University, No. 78 Wandao Road, Wanjiang District, Dongguan 523000, Guangdong Province, China. chen_gui_quan@126.com
Received: September 25, 2021
Peer-review started: September 25, 2021
First decision: October 18, 2021
Revised: November 17, 2021
Accepted: January 27, 2022
Article in press: January 27, 2022
Published online: March 16, 2022
Core Tip

Core Tip: Aorto-esophageal injury is a rare but life-threatening complication of esophageal foreign bodies, which typically requires open surgery. The best way to treat patients with this condition remains unclear. To date, few reports have described an aortic wall directly penetrated by a sharp foreign body. Here, we present a rare case of a fishbone completely embedded in the esophageal muscularis propria and directly piercing the aorta, which was successfully treated by endoscopy and thoracic endovascular aortic repair.