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Acute oesophageal obstruction 18 months after an abdominal shotgun wound

Published online by Cambridge University Press:  29 June 2007

N. Riley*
Affiliation:
Department of Otolaryngology, Craigavon Area Hospital, Portadown, N. Ireland.
J. McNeill
Affiliation:
Department of Anaesthetics, Craigavon Area Hospital, Portadown, N. Ireland.
B. McCloskey
Affiliation:
Department of Surgery, Craigavon Area Hospital, Portadown, N. Ireland.
M. P. Thomson
Affiliation:
Department of Otolaryngology, Craigavon Area Hospital, Portadown, N. Ireland.
E. Mackle
Affiliation:
Department of Surgery, Craigavon Area Hospital, Portadown, N. Ireland.
*
Address for correspondence: Mr Neil Riley, F.R.C.S., Otolaryngology Department, Royal Victoria Hospital, Belfast, N. IrelandBT12 6BA. Fax: 01762/831425.

Abstract

A 32-year-old man presented to the otolaryngology department with acute dysphagia after vomiting. Radiological investigation suggested a piece of meat lodged in the lower oesophagus and rigid oesophagoscopy was performed. However, a plastic shotgun cartridge wad was found and removed. This had gained access to the stomach when the patient had been shot at point-blank range 18 months previously, and appeared to have been forced into the oesophagus by the vomiting, where it caused obstruction.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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References

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