Esophageal perforation caused by fish vertebra ingestion in a seven-month-old infant demanded surgical intervention: A case report

Figure 1 A: Extensive pneumomediastinum and air collections in retropharyngeal area (arrows), B: Irregular hyperdense lesion (arrow head) around cricopharyngeal area, and intra-esophageal opacification (arrow) was noted at C3 - C4 level.

Figure 2 A: Esophageal rupture with retropharyngeal air collection (arrow), and B: Irregular foreign body impacted at upper esophagus (arrow).

Figure 3 Much air collection (arrow) was in the retropharyngeal space and mediastinum, contrast leakage (arrow head) into the retropharyngeal space with opacification of a small fistulous tract at C3-4 level (cricopharyngeal level), suggestive of esophageal perforation.

Figure 4 The fish vertebra with three sharp spines, which is about 1 cm x 1 cm in size, was removed by grasping forceps.