Clinical Pulp Fiction: First Multimodality Imaging of Needle Migration From Distal Esophagus Into Ventricular Septum

A 21-year-old woman self-ingested an 18-gauge needle that perforated the distal esophagus into the left inferior ventricular myocardium, with migration into the septum. Radiography, computed tomography, and echocardiography imaging characterized the needle’s location. Following an initial endoscopy...

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Detalles Bibliográficos
Autores principales: Woodworth, Claire F., Fagan, Susan M., Harris, Scott R., Adams, Corey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298549/
https://www.ncbi.nlm.nih.gov/pubmed/34317314
http://dx.doi.org/10.1016/j.jaccas.2020.01.013
Descripción
Sumario:A 21-year-old woman self-ingested an 18-gauge needle that perforated the distal esophagus into the left inferior ventricular myocardium, with migration into the septum. Radiography, computed tomography, and echocardiography imaging characterized the needle’s location. Following an initial endoscopy and pericardial tamponade drainage, complete needle removal occurred via median sternotomy and cardiopulmonary bypass. (Level of Difficulty: Intermediate.)

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