J Med Assoc Thai 2010; 93 (11):1332

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Left Subclavian Arterioesophageal Fistula Induced by Chicken Bone with Upper Gastrointestinal Hemorrhage and Unexpected Death: Report of a Case
Peonim V Mail, Udnoon J

Left subclavian arterioesophageal fistula resulting from chicken bone ingestion is a rare occurrence. The authors
report the death of a 42-year-old Thai female with mental retardation who presented to the hospital with severe hematemesis
and arrested. Death occurred about 24 hours after laparotomy due to hypovolemic shock. Postmortem examination revealed
a chicken bone embedded in middle part of esophagus with fistula between the esophagus and the left subclavian artery.

Keywords: Left subclavian arterioesophageal fistula, Chicken bone ingestion, Foreign body in the esophagus, Unexpected
death, Upper gastrointestinal hemorrhage

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