Puncture of the anterior wall of the pericardium by a fish b
Oesophageal perforation is a life-threatening emergency. Only three cases have been reported in which the posterior wall pericardium was simultaneously punctured by foreign body from an oesophageal perforation. A 37-year-old male was admitted with sudden bilateral chest pain and dyspnoea for 12 h. Chest computerized tomography showed bilateral pneumothorax, a small amount of effusion in the right thoracic cavity, and a high density of foreign body anterior to the pericardium (Panels A and B, Supplementary material online, Video S1). During the operation, haematoma formation was observed in the anterior mediastinum pericardial fat, and a 3.5 cm fish-bone thorn was observed in the anterior wall of the pericardium on the right ventricular surface, with obvious bleeding in the pericardium (Panels C–E, Supplementary material online, Video S2). Oesophagoscopy was performed at the same time, and an oesophageal ulceration was observed 20 cm from the incisors (Panel F).

Source: https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehac258/6586209?rss=1&login=true