ESOPHAGOPLEURAL fistula following esophageal perforation by a foreign body is a rare condition. Three cases have ben reported, in 2 of which the diagnosis was first entertained because of the presence of food particles in the pleural cavity, while in the other case the condition was not discovered until autopsy. The diagnosis in the case reported here was established both by the presence of food particles in the pleural cavity and by fluoroscopic visualization of iodized oil U.S.P. passing through the fistula from the esophagus into the pleural cavity.
REPORT OF CASE
History.—R. H., a boy 5 years of age swallowed a safety pin at 7:30 p.m., July 31, 1946, and was admitted to the surgical service of Baltimore City Hospitals one-half hour later. He had been in good health before this accident. The child on admission to this service was afebrile, had no nausea, vomiting or abdominal pain