case_images: PMC7289644_01
case_images: Chest X-ray of an 87-year-old woman revealed a foreign body, thought to be a safety pin, in the cervical esophagus. A large quantity of pleural effusion was collected on the left pleural cavity. A, A contrast multidetector row computed tomography scan revealed the opened safety pin had penetrated the left subclavian artery. B, Active bleeding was not observed in the scan.
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case_images: Chest X-ray revealed the foreign body, thought to be a safety pin, in the cervical esophagus, and a large quantity of pleural effusion collected in the left pleural cavity (Fig. 1A). A contrast multidetector row computed tomography (CT) scan revealed that an opened safety pin had penetrated the left subclavian artery (Fig. 1B).
case_images: Angiography of an 87-year-old woman who had ingested a safety pin. The pin was located in the cervical esophagus and the needlepoint penetrated an esophagus wall and the left subclavian artery. A, After the safety pin was withdrawn, the subclavian artery contrast was carried out again. A bare-metal stent was detained in the false aneurysm part. However, blood flow in the false aneurysm remained. B, A coil was inserted into the aneurysm and interrupted the blood flow.
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case_images: It formed false aneurysms in the subclavian artery (Fig. 2A). Therefore, a coil was inserted into the aneurysm, which interrupted the flow, leading to minimal blood loss (Fig. 2B).
case_images: Esophagography in an 87-year-old woman following the removal of a safety pin from her cervical esophagus. A, Esophagography showed no leakage of the esophagus. B, C, Endoscopic examination revealed close-down of the penetrated fistula of the esophagus with scar tissue.
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case_images: The postoperative course was uneventful; hence, we carried out esophagography and endoscopic examination, which revealed closedown of the penetrated fistula (Fig. 3).