Ligamentum arteriosum calcification that presented as an esophageal perforation caused by duck bone ingestion

J Int Med Res. 2020 May;48(5):300060520925715. doi: 10.1177/0300060520925715.

Abstract

Ligamentum arteriosum calcification is the calcification or ossification of arterial ligaments. However, on computed tomography images, ligamentum arteriosum calcification is often mistaken for esophageal perforation when a patient has a medical history of foreign body ingestion. Ligamentum arteriosum calcification is uncommon in clinical practice. In this case report, we confirm the presence of this condition intraoperatively, which has seldom been reported previously. Increased awareness of the clinical characteristics of this uncommon disease can help thoracic surgeons with proper patient management.

Keywords: Ligamentum arteriosum calcification; esophageal perforation; foreign body; foreign body ingestion; patient management; thoracic surgeon.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aorta / diagnostic imaging
  • Aorta / pathology*
  • Aorta / surgery
  • Bone and Bones
  • Calcinosis / diagnosis*
  • Calcinosis / pathology
  • Calcinosis / surgery
  • Diagnosis, Differential
  • Eating
  • Esophageal Perforation / diagnosis
  • Esophageal Perforation / etiology
  • Esophagus / diagnostic imaging
  • Foreign Bodies / complications
  • Foreign Bodies / diagnosis
  • Gastroscopy
  • Humans
  • Incidental Findings
  • Ligaments / diagnostic imaging
  • Ligaments / pathology*
  • Ligaments / surgery
  • Male
  • Mediastinum / diagnostic imaging
  • Mediastinum / pathology*
  • Mediastinum / surgery
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / pathology*
  • Pulmonary Artery / surgery
  • Thoracotomy
  • Tomography, X-Ray Computed
  • Treatment Outcome