Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Gastrointestinal Medicine
Volume 2014, Article ID 969862, 4 pages
Case Report

Embedded Pork Bone Causing Esophageal Perforation and an Esophagus-Innominate Artery Fistula

1Kansas City University of Medicine and Biosciences (KCUMB), 1750 E. Independence Avenue, Kansas City, MO 64106, USA
2Department of Medicine and Advanced Therapeutic Endoscopy, College of Medicine, University of Florida, Gainesville, Florida, FL 32610, USA
3Department of Internal Medicine, University of South Florida, Tampa, FL 33612, USA
4Department of Internal Medicine, University of Miami Miller School of Medicine, Palm Beach Regional Campus, Atlantis, FL 33462, USA
5Department of Radiology, West Palm Hospital, West Palm Beach, FL 33407, USA
6Department of Internal Medicine, Wheaton Franciscan Healthcare, Milwaukee, WI 53215, USA
7Digestive Disease Center of the Palm Beaches, Loxahatchee, FL 33470, USA

Received 11 June 2014; Revised 19 July 2014; Accepted 21 July 2014; Published 3 August 2014

Academic Editor: Yoshihiro Moriwaki

Copyright © 2014 Andrew C. Berry et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Chronically embedded foreign bodies can lead to perforations, mediastinitis, and abscess, amongst a host of other complications. A 20-year-old mentally challenged female presented with “something stuck in her throat,” severe dysphagia, and recurrent vomiting. Initial imaging was unremarkable; however, subsequent imaging and esophagogastroduodenoscopy two weeks later revealed an embedded pork bone. Surgery was performed to remove the bone and fix the subsequent esophageal perforation and esophagus-innominate artery fistula. This case helps reinforce the urgency in removing an ingested foreign body and the ramifications that may arise with chronically embedded foreign bodies.