Infrequent complications in a single patient: esophageal perforation, cervical vascular injury, and soft tissue infection caused by a spine

• Autores: Marulanda Fernández, Hernando, Frías Ordoñez, Juan Sebastián, Contreras, Zoraida, Peñafiel Ruiz, Jorge, Otero Regino, William
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Sociedad de Gastroenterología del Perú
• Repositorio: Revista de Gastroenterología del Perú
• Lenguaje: español
• OAI Identifier: oai:ojs.revistagastroperu.com:article/1753
• Enlace del recurso: https://revistagastroperu.com/index.php/rgp/article/view/1753
• Nivel de acceso: acceso abierto
• Materia: Migración de Cuerpo Extraño; Cuerpos Extraños; Esófago; Tracto Gastrointestinal Superior; Tomografía; Urgencias Médicas; Foreign-Body Migration; Foreign Bodies; Esophagus; Upper Gastrointestinal Tract; Tomography; Emergencies

In this article, we present an exceptionally rare and challenging clinical case. It concerns a 65-year-old woman who, while eating, accidentally ingested a thorn. This foreign body, after being swallowed, migrated from the proximal esophagus, until it penetrated the left internal jugular vein. This unusual phenomenon presented as the main symptom, high dysphagia of acute course, accompanied by a hematoma in the left hemicollar. This case not only highlights the potential seriousness of accidental foreign body ingestion, but also the possibility of migration to potentially serious infrequent locations leading to diagnostic and therapeutic challenges. Foreign body migration through soft tissue and subsequent impact on critical vascular structures are extremely rare events and require immediate and specialized medical intervention.