Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 2 Issue 8

Silent Pneumomediastinum after Salmon Fish Ingestion - A Clinical Dilemma

Pramod Chirakkal1*, Amira Nasser Al Hail2 and Asharaf Ayinikunnan3

1Specialist, Department of ENT, Head and Neck Surgery, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar
2Senior Consultant and Head, Department of ENT, Head and Neck Surgery, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar
3Associate Consultant, Department of ENT, Head and Neck Surgery, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar

*Corresponding Author: Pramod Chirakkal, Specialist, Department of ENT, Head and Neck Surgery, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar.

Received: June 17, 2020; Published: July 30, 2020



 Esophageal perforation is a very rare occurrence because accidental swallowing of foreign bodies is uncommon in adults. Thus, perforation due to swallowing of a foreign body and subsequent development of pneumomediastinum is rarely encountered by physicians. We experienced such a case and described an adult male patient who had perforated esophagus after unintentional ingestion of a salmon fish bone [1]. The patient visited our emergency department complaining of difficulty in swallowing for 4 hours. A review of history revealed that he consumed a salmon fish 4 hours ago. A plain x-ray soft tissue neck revealed suspicion of mediastinal air tracking (Figure 1) and Computed tomography (CT) of neck confirmed the hyper dense concentric wall thickening of the upper esophageal lumen at the level of thoracic inlet and pneumomediastinum seen surrounding the trachea, bilateral hilar extending superiorly in to the neck, posterior to the right common carotid artery and inferiorly up to and surrounding the distal esophagus, also pneumomediastinum more pronounced around the level of aortic arch and below the thoracic duct. Conservative medical management was done with help of thoracic surgeon and discharged after 3 days with full recovery.

Keywords: Salmon Fish; Neck; Pneumomediastinum



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Citation: Pramod Chirakkal., et al. “Silent Pneumomediastinum after Salmon Fish Ingestion - A Clinical Dilemma". Acta Scientific Otolaryngology 2.8 (2020): 17-19.


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