Pyopneumothorax—a rare sequelae of retropharyngeal abscess

1993 ◽  
Vol 107 (5) ◽  
pp. 460-462 ◽  
Author(s):  
S. Lokman ◽  
A. Sani ◽  
D. S. Sidek
Keyword(s):  
Foreign Bodies ◽  
Fish Bone ◽  
Retropharyngeal Abscess ◽  
Retropharyngeal Space ◽  
Fatal Complication ◽  
Initial Attempt

A case of massive pyopneumothorax as a rare sequelae of retropharyngeal abscess following fish bone ingestion is reported. An initial attempt at removal of the fish bone in the oesophagus using the fibroptic oesophagoscope was unsuccessful, causing failure of its removal and the development of this rare and potentially fatal complication. The intercommunication of the retropharyngeal space with other spaces of the neck and thorax that allow this and most other complications to occur is described. Rigid endoscopes are the instrument of choice in retrieving sharp foreign bodies in the oesophagus.

scholarly journals Acute retropharyngeal abscess in adults: a case series

2016 ◽  
Vol 3 (1) ◽  
pp. 151 ◽  
Author(s):  
Inderdeep Singh ◽  
Vikas Gupta ◽  
Sunil Goyal ◽  
Manoj Kumar ◽  
Lakshmi Ranjit ◽  
...  
Keyword(s):  
Foreign Bodies ◽  
Case Series ◽  
Retropharyngeal Abscess ◽  
Retropharyngeal Space ◽  
Surgical Drainage ◽  
Deep Neck Space Infections ◽  
Primary Focus ◽  
High Index Of Suspicion ◽  
Dental Infections ◽  
Primary Modality

<p>Retropharyngeal abscesses are uncommon but potentially lethal infections. In the adult group they are usually secondary to trauma, foreign bodies, or as a complication of dental infections. Early diagnosis and the wide spread use of antibiotics have made these infections less common today. High index of suspicion and clinical acumen is required to provisionally diagnose these cases. In the current era where empirical use of high end and advanced antibiotics is prevalent it is not surprising to find patients with highly resistant microbes, such cases present further difficulty to treat. For large retropharyngeal abscesses, surgical drainage remains the primary modality followed by aggressive targeted antibiotic therapy. We present three cases of deep neck space infections with primary focus in retropharyngeal space. All required surgical drainage and aggressive postoperative care. Extensive review of literature of retropharyngeal abscess in adults was done to derive characterizations about this disease. </p>

scholarly journals Foreign body of the esophagus, complicated by retropharyngeal abscess and mediastinitis

1981 ◽  
Vol 62 (5) ◽  
pp. 64-65
Author(s):  
V. V. Baityakov ◽  
V. V. Fedotov ◽  
A. I. Bocharov
Keyword(s):  
Foreign Body ◽  
Sore Throat ◽  
General Condition ◽  
Severe Pain ◽  
Soft Tissues ◽  
Fish Bone ◽  
Retropharyngeal Abscess ◽  
Anterior Surface ◽  
Interscapular Region

T., 55 years old, choked on a fish bone while eating. After 2 days, she was admitted to the ENT clinic with complaints of sore throat, hoarseness, sharp difficulty in swallowing and breathing. The general condition of the patient is severe, the neck is enlarged due to edema of soft tissues, the skin is pale, on the anterior surface of the chest there are massive subcutaneous hemorrhages. The patient retains a forced position, cannot lie on the couch on her own. Palpation of the neck and interscapular region causes severe pain. Temperature 39.3 .

scholarly journals A rare cause of right iliac fossa lump: contained fish bone perforation of caecum

2020 ◽  
Vol 7 (10) ◽  
pp. 3476
Author(s):  
Washim F. Khan ◽  
Sandeep Jain ◽  
Yashwant S. Rathore ◽  
Sunil Chumber
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Iliac Fossa ◽  
Exploratory Laparotomy ◽  
Right Hemicolectomy ◽  
Fish Bone ◽  
Rare Entity ◽  
Radiological Findings ◽  
Generalized Peritonitis ◽  
High Index Of Suspicion

Ingested foreign bodies usually pass uneventfully through the gastrointestinal tract but few of them can cause symptoms. They can get stuck at acute angulations or narrow part of intestine and can perforate leading to localized to generalized peritonitis, collection or abscess formation. We describe a case of 59 year old gentleman who presented with pain in right iliac fossa with fever and a hard, tender lump. Initial investigation revealed a mass in right iliac fossa adherent to anterior abdominal was in right iliac fossa region with a foreign body inside. Patient was managed with exploratory laparotomy, removal of a fish bone from cacecum and limited right hemicolectomy. Fishbone perforation of caecum is a rare entity. Careful corroboration between patient’s presentation and radiological findings with a high index of suspicion is needed for pre-operative diagnosis.

scholarly journals Chronic retropharyngeal abscess

2012 ◽  
Vol 18 (2) ◽  
pp. 242-244
Author(s):  
M Alamgir Chowdhury ◽  
Naseem Yasmeen ◽  
Phub Tshering
Keyword(s):  
Case Report ◽  
Posterior Pharyngeal Wall ◽  
Retropharyngeal Abscess ◽  
Retropharyngeal Space ◽  
Tuberculous Infection ◽  
Anterior Longitudinal Ligament ◽  
Neck Swelling ◽  
External Drainage ◽  
Pharyngeal Wall ◽  
Space Case

Introduction: Chronic retropharyngeal abscess can occur in the adults as well as in children. It is usually due to tuberculous infection of the cervical spine as the pus directly spreads through the anterior longitudinal ligament into the retropharyngeal space. Case report: We report a case of chronic retropharyngeal abscess in a 60-year-old woman who presented with throat pain and dysphagia. On examination there was bulging of the posterior pharyngeal wall and also right sided neck swelling. She was treated by external drainage of abscess under local anaesthesia and she recovered well with anti-tubercular drugs DOI: http://dx.doi.org/10.3329/bjo.v18i2.12032 Bangladesh J Otorhinolaryngol 2012; 18(2): 242-244

Management of Oesophageal Foreign Bodies

1986 ◽  
Vol 16 (4) ◽  
pp. 168-172 ◽  
Author(s):  
Adebayo O Adeyemo ◽  
Olujinmi Odetoyinbo ◽  
Olayinka Akinola
Keyword(s):  
Mortality Rate ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Retropharyngeal Abscess

In 90% of 213 patients, foreign bodies impacted in the oesophagus were removed during oesophago-scopy. Surgical intervention was necessary in the remainder. The complications recorded in 18 patients (8.5%) included bleeding, retropharyngeal abscess, paraoesophageal abscess, stricture, and mediastinitis. The mortality rate was 0.94%.

Fatal Complication from an Alkaline Battery Foreign Body in the Esophagus

1977 ◽  
Vol 86 (5) ◽  
pp. 611-615 ◽  
Author(s):  
Donald S. Blatnik ◽  
Robert J. Toohill ◽  
Roger H. Lehman
Keyword(s):  
Foreign Body ◽  
Steroid Therapy ◽  
Potassium Hydroxide ◽  
Foreign Bodies ◽  
Clinical Course ◽  
Fatal Complication ◽  
Alkaline Battery ◽  
Fatal Course

Foreign bodies and alkali burns in the trachea and esophagus are potentially fatal. Some camera batteries contain 45% potassium hydroxide electrolyte which can leak and cause liquification necrosis upon tissue contact. This report describes a case of an alkali battery foreign body in the esophagus with a subsequent fatal course which was masked by steroid therapy. A discussion of corrosive burns of the esophagus, their etiology, clinical course and pathology is presented.

scholarly journals Fish Bone Migrating into the Thyroid Gland

2014 ◽  
Vol 5 (1) ◽  
pp. 42-44
Author(s):  
Jay Kantilal Kotecha
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Thyroid Gland ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Left Lobe ◽  
Rare Phenomenon ◽  
Head Neck

ABSTRACT Many cases have been reported in the literature about foreign bodies lodged in the hypopharynx. A foreign body penetrating the esophagus and migrating into the soft tissue of neck is a rare phenomenon. We report a case of 35 years male who ingested a fish bone which then migrated into left lobe of thyroid and the role of imaging in its detection and management. How to cite this article Kotecha JK. Fish Bone migrating into the Thyroid Gland. Int J Head Neck Surg 2014;5(1):42-44.

scholarly journals Migratory Fish Bone in the Thyroid Gland: Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
EnHao Wu ◽  
Lei Huang ◽  
Ya Zhou ◽  
Xun Zhu
Keyword(s):  
Foreign Body ◽  
Thyroid Gland ◽  
Foreign Bodies ◽  
Relevant Literature ◽  
Fish Bone ◽  
Migratory Fish ◽  
Emergency Case ◽  
Presenting Symptoms ◽  
Fish Bones ◽  
The Common

Introduction. Foreign body stuck in the throat is a common emergency case, which can be removed by the endoscopic treatment. Fish bones are one of the common observed foreign bodies in the pharynx or cervical esophagus. Fish bones have a risk of damaging the mucosa when lodged in the upper digestive tract. Foreign bodies of fish bones located outside the laryngopharyngeal tissue are relatively unusual, and it is even more rare that they remain in the thyroid. It may cause local infection, abscess formation, large blood vessels rupture, and other serious life-threatening complications when the position of the fish bone migrates to the neck. We present a unique case of a 31-year-old woman in whom a fish bone was found in the thyroid. The fish bone had been removed successfully two months after the onset of symptoms. The relevant literature is reviewed and summarized.Case Presentation. A foreign body which is located in the neck area by swallowing is usually found in the emergency case. One of the commonest foreign bodies is the fish bone. The common presenting symptoms include foreign body (FB) sensation and or a sharp pain during swallowing. But we report a rare case in which a migratory fish bone stuck in the thyroid gland was found after 3 months. We retrieved previous literature and made a summary.Conclusions. Fish bones are not easy to be found as a foreign body. Surgeons should be aware that fish bones can become lodged in the thyroid gland. Combined with the history should be a wary fish bone to migrate to the case of the thyroid, to avoid misdiagnosis. To confirm the diagnosis, we can take ultrasound, computerized tomographic scanning (CT), and other tests.

scholarly journals Foreign bodies in esophagus: our experiences

2018 ◽  
Vol 5 (1) ◽  
pp. 83
Author(s):  
A. G. Naveen Kumar
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Medical Science ◽  
Final Diagnosis ◽  
Retropharyngeal Abscess ◽  
Research Centre ◽  
Esophageal Foreign Body ◽  
History Of ◽  
Age Range ◽  
Time Of Admission

<p class="abstract"><strong>Background:</strong> Foreign bodies in esophagus come as an emergency to otolaryngologist and needs to be removed at the earliest to prevent complications. The objective was to share our experience with esophageal foreign bodies removal in Sapthagiri Institute of Medical Science and Research Centre, Bangalore, India.</p><p class="abstract"><strong>Methods:</strong> Study of 84 patients admitted with the final diagnosis of esophageal foreign body during September 2011 – September 2018, for sex, age, diagnosis on admission, estimated duration and site of impaction, type and number of foreign body removed.  </p><p class="abstract"><strong>Results:</strong> Over 7 years period, 84 patients (48 males and 36 females) of different ages, youngest being 02 years and oldest being 92 years were admitted with the diagnosis of esophageal foreign body. Fifty percent of patients were five years or less in age at the time of admission. 32.1% were between 5 to 14 years and 17.9% were between the age range of 60-92 years. Seven patients (2.9%) had a history of esophageal anomalies requiring operation. Different types of foreign bodies ingested most common being coin. Majority of foreign bodies (75/84, 89.2%) were located in the post cricoid and upper esophagus followed by the mid-esophagus, and only 3 cases involved the lower esophagus.</p><p class="abstract"><strong>Conclusions:</strong> The most common foreign bodies in children are coin and toys. Sharp foreign bodies are difficult remove but need to be removed carefully at the earliest to prevent dreaded complications like - retropharyngeal abscess and mediastinitis. Loose fitting dentures are common foreign body in elderly patients.</p>

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