EURORAD ESR

Case 10311

Ingested nails and stones and oesophageal perforation

Author(s)
Elton Cekaj1, Renato Osmënaj2

(1) Regional Hospital of Durres, Albania
(2) University Hospital Center "Mother Tereza" of Tirana, Albania
 
Patient
male, 44 year(s)
 
 
  • Figure 1
    CT examination scout

    Note the ingested nails and stones and the free air in the soft tissues of the neck and the upper chest.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;
     
     
  • Figure 2
    Neck and mediastinum
     

    Note the impacted stone in the pharynx and the free air in neck soft tissues. Trachea appears normal.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    Extensive subcutaneous emphysema is noted.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    Note the pneumomediastinum in all mediastinal compartments.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;
     
     
  • Figure 3
    Volume rendering and MIP
     

    Note the ingested nails and stones

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    Rotated volume rendered image.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    MIP 3D

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    Stones and nails in stomach and rectum are seen.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    Nail in small intestine and subcutaneous emphysema in the soft tissue of the neck and upper thoracic wall.

     
    Area of Interest: Emergency; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;
     
     
Note the ingested nails and stones and the free air in the soft tissues of the neck and the upper chest.
 
Note the impacted stone in the pharynx and the free air in neck soft tissues. Trachea appears normal.
 
Extensive subcutaneous emphysema is noted.
 
Note the pneumomediastinum in all mediastinal compartments.
 
Note the ingested nails and stones
 
Rotated volume rendered image.
 
MIP 3D
 
Stones and nails in stomach and rectum are seen.
 
Nail in small intestine and subcutaneous emphysema in the soft tissue of the neck and upper thoracic wall.
 
 
 
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