A Case of Esophageal Perforation of Due to Fish Born

A 64-year-old man came to our hospital with a chief complaint of discomfort in swallowing. He ate fish 3 days before. Chest radiograph did not show fish bone. As we suspected an esophageal perforation, we examined his esophagus and stomach endoscopically and performed CT. In result we found a large fish bone stabbing into the esophageal wall. Fortunately in this case conservative treatment resulted in success. Some esophageal perforation cause critical complications revealed death. We consider that CT should be performed immediately when an esophageal perforation was suspected to evaluate mediastinum as well as detection of site and cause of the perforation.