Post-traumatic pseudoaneurysm of the aortic arch due to esophageal perforation by a fishbone

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"etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Adjunta del servicio de radiología del Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Cirujana adjunta del servicio de cirugía general y del aparato digestivo del Hospital Clinico Universitario de Santiago de Compostela, Jefa de Sección de Unidad de esofago-gástrica, Santiago de Compostela, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pseudoaneurisma postraumático de arco aórtico por perforación esofágica a causa de espina de pescado" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1503 "Ancho" => 1650 "Tamanyo" => 183666 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "An 86-year-old woman with no medical history came to the emergency room due to dysphagia and shivering for 4 days after eating fish. Lab work-up: leukocytosis with left shift. Thoracic CT scan: esophageal circumferential thickening due to a foreign body associated with a small mediastinal hematoma, fatty reticulation and loss of fatty plane with the aortic arch (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a); fishbone observed pointing towards the aortic arch (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>a). Diagnosis: esophageal perforation and suspected mediastinitis. Treatment: endoscopic extraction and conservative treatment. Follow-up CT scan: additional image in the aortic arch along the tract of the foreign body from previous CT scan (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b). Diagnosis: aortic arch pseudoaneurysm (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>b). PET/CT scan: mediastinitis not ruled out. Treatment: antibiotic therapy for 2 weeks. Two-stage surgery: creation of space for non-fenestrated endovascular prosthesis, through right carotid subclavian transposition and aberrant right subclavian artery ligation; stent placement to exclude the pseudoaneurysm. No immediate postoperative complications were observed.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>FundingInstituto de Investigación Sanitaria de Santiago de Compostela." 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Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery. The articles published in Cirugía Española can be found summarised and indexed in Science Citation Index Expanded, Journal Citation Reports, Index Medicus/MEDLINE, Scopus, EMCare, Scirus, IBECS and IME.

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