Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 35-37

Impacted Fish Bone Leading to Rapidly Growing Common Carotid Artery Pseudoaneurysm

1 Department of Anesthesiology and Critical Care, NEIGRIHMS, Shillong, Meghalaya, India
2 Department of Cardiothoracic and Vascular Surgery, NEIGRIHMS, Shillong, Meghalaya, India
3 Department of ENT and Head and Neck Cancer Surgery, NEIGRIHMS, Shillong, Meghalaya, India

Correspondence Address:
Dr. Manuj Kr Saikia
Department of Cardiothoracic and Vascular Surgery, NEIGRIHMS, Shillong, Meghalaya
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-0820.152835

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Accidental impaction of small fish bone in upper gastro intestinal tract is relatively common. Most of the time people ignore such small fish bone impaction as they become asymptomatic with subsequent swallowing of food. Rarely, it may perforate esophagus and cause serious complications and may even be fatal. A 28-year-old male was referred to us with a 4 day history of painful swallowing, and rapidly enlarging right sided neck swelling for last 3 days. He had a history of a fish bone impaction 2 weeks ago on the same side which he felt had resolved with subsequent dry rice swallow. Radiological investigation showed a pseudoaneurysm of the right common carotid artery (CCA) with impacted fish bone in the neck outside gastro intestinal tract impinging on the wall of CCA. The neck was explored; the CCA repaired, and patient was discharged in good health. This is an unusual complication of fish bone impaction. Urgent surgical intervention, rapid resuscitation and multidisciplinary approach are necessary for a good patient outcome.

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