Esophageal Foreign Body Causing Direct Aortic Injury

Foreign bodies in the esophagus are uncommon causes of esophageal perforation. Many nonperforating cases are successfully managed by flexible gastroscopy. However, complicated foreign bodies such as those that result in esophageal perforation and vascular injury are best managed surgically. Gastroscopy remains the primary method of diagnosis. A case of a 59-year-old woman who developed retrosternal and intrascapular pain, odynophagia and hematemesis after eating fish is reported. Flexible gastroscopy showed arterial bleeding from the midthoracic esophagus. Computed tomography scan localized a 3 cm fish bone perforating the esophagus with surrounding hematoma. An aortogram did not reveal an actively bleeding aortoesophageal fistula. The fish bone was surgically removed and the patient recovered with no postoperative complications. This case illustrates the importance of early consideration for surgical intervention when confronted with a brisk arterial bleed from the esophagus with suggestive history of foreign body ingestion.

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Denture Impaction Causing an Upper Esophageal Diverticulum

Case Reports in Gastrointestinal Medicine ◽

10.1155/2019/9621383 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Shireen Samargandy ◽

Hani Marzouki ◽

Talal Al-Khatib ◽

Mazin Merdad

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

The Elderly ◽

Barium Swallow ◽

Diagnostic Challenge ◽

Case Presentation ◽

History Of ◽

Endoscopic Diverticulotomy ◽

Tomography Scan ◽

Rule Out

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.

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Foreign bodies in esophagus: our experiences

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20184692 ◽

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

Background: 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.Methods: 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. Results: 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.Conclusions: 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.

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Obstructive Pneumonia With Bronchial Foreign Body: A Case Report

10.21203/rs.3.rs-331826/v1 ◽

2021 ◽

Author(s):

Hitomi Tanaka ◽

Takatoshi Anno ◽

Haruka Takenouchi ◽

Hideaki Kaneto ◽

Toru Oga ◽

...

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Laboratory Data ◽

Vital Signs ◽

Fish Bone ◽

Case Presentation ◽

Bronchial Foreign Body ◽

Old Japanese ◽

History Of ◽

Normal Chest

Abstract Background: Bronchial foreign bodies are relatively uncommon in adults. There are a variety of symptoms induced by airway foreign bodies, although the typical symptoms of some bronchial foreign bodies are cough, wheezing, chest pain, hemoptysis and fever up. Case presentation: An 80-year-old Japanese man was referred to our hospital with symptom of 7-month history of cough and pneumonia. His chest radiograph showed a slight increase in opacity. His vital signs and his laboratory data were almost normal. Chest computed tomography revealed obstructive pneumonia and a bronchial foreign body. We performed bronchoscopy and detected a fish bone as an intrabronchial foreign body and finally removed it from the bronchi.Conclusions:It is very important to carefully perform medical consultation about the current and past medical history. People in some countries and regions such as Japan have a habit of eating fish. It is necessary to more carefully consider the possibility of some bronchial foreign body such as a fish bone, when we observe symptoms of persistent cough.

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Unsuspected Cause of Respiratory Distress: Unrecognized Esophageal Foreign Body

Case Reports in Pediatrics ◽

10.1155/2018/6283053 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Naima Baddouh ◽

Lahcen Arjdal ◽

Abdelaziz Raji ◽

Mounir Bourrous

Keyword(s):

Foreign Body ◽

Respiratory Distress ◽

Foreign Bodies ◽

Thoracic Esophagus ◽

Upper Respiratory Tract ◽

Esophageal Foreign Body ◽

Presenting Symptoms ◽

History Of ◽

Chest X Ray ◽

Upper Thoracic

Summary. Foreign bodies in esophagus are avoidable accidents that occur most often in children younger than 3 years. The most common presenting symptoms are dysphagia, drooling, and vomiting. Revelation by respiratory distress is a rare and unusual condition. Objective. We describe and discuss the case of an esophageal foreign body, in which the patient presented with respiratory distress. Case report. A two-year-old child was admitted to the emergency department for acute respiratory distress. He had no history of choking episodes or dysphagia. Nevertheless, he was brought by his parents several times for a persistent cough and wheezing that was treated as asthma for a month. Pulmonary examination had revealed polypnea, suprasternal recession, scattered snoring, and diffuse wheeze. As part of his assessment, a chest X-ray was demanded. It had shown, as unexpected, a nonmetallic foreign body in the upper thoracic esophagus. A clothing button was removed by hypopharyngoscopy under sedation without any incident. Subsequent follow-up had not shown any complications related to this episode. Conclusion. Large esophageal foreign bodies can impinge on the trachea causing upper respiratory tract signs. We alert clinicians on variation in the presentation of foreign body ingestion, and we emphasize the importance of an early diagnosis and management.

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Migration of Ingested Fish Bone from Upper Aerodigestive Tract to the Skin of the Neck

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2015.v23i2.51 ◽

2015 ◽

Vol 23 (2) ◽

pp. 81-83

Author(s):

Mukulika Saha ◽

Amit Chakrabarti ◽

Amit Bikram Maity ◽

Satadal Mandal

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Muscular Contraction ◽

Fish Bone ◽

Surrounding Tissue ◽

Upper Aerodigestive Tract ◽

Intact Skin ◽

Hollow Viscus ◽

Unusual Event ◽

History Of

IntroductionIngested foreign bodies commonly get impacted in the upper aero digestive tract, but only a few of these foreign bodies have perforated the oesophagus and an even smaller number of these have migrated extraluminally. Case reportA 43 year old male patient presented with history of accidental ingestion of fish bone (F.B) 3 weeks back. On examination a sharp pointed swelling was seen over right side of neck and on palpation a pointed object was felt beneath the intact skin. Digital X-ray, ultrasonography of the neck and CT scan neck showed a linear obliquely placed foreign body on right side of neck at the level of thyroid gland. The foreign body was easily removed by an incision over the skin and was confirmed to be a fish bone. DiscussionHorizontally oriented foreign bodies are more likely to penetrate the lumen of a hollow viscus. The muscular contraction of the neck might account for this unusual event to some extent, one possible factor being that the presence of the foreign body in the soft tissue might have led to inflammation and oedema, which made the texture of the surrounding tissue loose and lax ; a sort of gel-sol interconversion.

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Management of a metal foreign body entering the thyroid via the esophagus: a case report

Journal of International Medical Research ◽

10.1177/0300060520925377 ◽

2020 ◽

Vol 48 (5) ◽

pp. 030006052092537

Author(s):

Songxiang Wang ◽

Chaoyang Xu

Keyword(s):

Foreign Body ◽

Thyroid Gland ◽

Foreign Bodies ◽

Preoperative Assessment ◽

Fish Bone ◽

X Ray ◽

Pain Reporting ◽

The Right ◽

Metal Foreign Body ◽

Tomography Scan

The entry of a metallic foreign body into the thyroid gland via the esophagus is a rare occurrence, with no previously reported cases. We present a 42-year-old woman who was admitted to hospital with right-sided neck pain, reporting that she had inadvertently swallowed a fish bone. She underwent laryngoscopy, which showed no fish bone in the throat, and no obvious bleeding in the bilateral tonsils and pear-shaped fossa. X-ray examination showed a needle-shaped foreign body in the neck, and a computed tomography scan of her neck showed a 0.1-cm diameter, 2.0-cm long foreign body in the right thyroid. She underwent emergency surgery and a needle of the corresponding size was found in the thyroid gland. This case demonstrates the importance of adequate preoperative assessment and an appropriate surgical approach for thyroid metallic foreign bodies.

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Secondary Rupture of Aorta following the Surgical Management of Aortoesophageal Fistula

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230501300418 ◽

2005 ◽

Vol 13 (4) ◽

pp. 374-376 ◽

Cited By ~ 2

Author(s):

Tao Jin ◽

Guo-Wei Yu ◽

Liang Ma

Keyword(s):

Foreign Body ◽

Surgical Management ◽

Fish Bone ◽

Aortoesophageal Fistula ◽

Esophageal Foreign Body ◽

Postoperative Course ◽

Lessons Learnt

A patient suffering from an aortoesophageal fistula (AEF) caused by a fish bone, was treated in our institute in 2000. The operation was successful and the patient had an uneventful early postoperative course. However, the patient died of frank hematemesis on the 6th postoperative day due to secondary rupture of the aorta. The lessons learnt and surgical efforts to manage AEF caused by an esophageal foreign body are discussed.

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CLINICAL PROFILE OF PAEDIATRIC PHARYNGO-OESOPHAGEAL FOREIGN BODIES IN A TERTIARY HEALTH INSTITUTION, NORTH WEST NIGERIA.

Caliphate Medical Journal ◽

10.47837/cmj.19770126.nma.201311132 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Aliyu D ◽

Iseh KR ◽

Abdullahi M ◽

Amutta SB

Keyword(s):

Foreign Body ◽

Health Education ◽

Foreign Bodies ◽

Public Health Education ◽

Fish Bone ◽

North West ◽

Care Givers ◽

History Of ◽

Rigid Oesophagoscopy ◽

Xylocaine Spray

Background: Pharyngo-oesophageal foreign bodies (PFB) in children are frequent clinical entity requiring an urgent radiological and endoscopic surgical intervention to avert life threatened complications seen in otorhinolaryngology practice. Objective: The objective of this study is to describe the pattern of pharyngooesophageal foreign bodies’ impaction, management challenges and the need for health education to care givers. Method: A retrospective review of all cases of paediatric patients with suspected or confirmed history of PFB from January 2007 to December 2011. The information retrieved included the biodata, types of foreign body, clinical and radiological findings, treatment and outcome.Results were analysed by simple statistical table. Results: Sixty seven patients diagnosed with Pharyngo-oesophageal Foreign Body, forty three (64%) were males while 24(36%) were females with M: F ratio = 1.8:1 and Mean age of 4.9 years (age range 6months to 13years.).Coins 36(54%) were the commonest PFB. Only 13(19%) presented to hospital within 24hours of ingestion. Common presenting symptom were Vomiting 70%, and dysphagia in 73%. Fifty four (81%) had positive history of FB ingestion and 13(19%) of the patient PFB were detected radiologically. Sixty three (94%) had rigid oesophagoscopy and removal under general anaesthesia while 4(6%) fish bone FB in the tonsils were extracted in the out-patient clinic after xylocaine spray. Post operative complications were noticed in 13(19%). Conclusion: Coin is the commonest pharyngoesophageal foreign body in children. Only 19% of these patient presented to hospital within 24hours therefore public health education to parents and care givers is recommended.

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Chronic retained esophageal foreign body: a case report

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20210135 ◽

2021 ◽

Vol 8 (2) ◽

pp. 383

Author(s):

Gurpreet Singh Chhabra ◽

Anumeet Singh Grover ◽

Gagandeep Kaur

Keyword(s):

Case Report ◽

Foreign Body ◽

Respiratory Symptoms ◽

Foreign Bodies ◽

Gastrointestinal Symptoms ◽

Esophageal Foreign Body ◽

High Incidence ◽

History Of ◽

Foreign Body Impaction ◽

Esophageal Foreign Bodies

Chronic esophageal foreign bodies (CEFB) are associated with a high incidence of morbidity and mortality in adults. However, the presentation, management and outcome of chronic esophageal foreign bodies in children are not well described. Seventy-six percent of patients presented with a primary complaint of respiratory symptoms, with respiratory distress being the most common followed by asthmatic symptoms and cough. Twenty-two percent of patients had primarily gastrointestinal symptoms including nausea, vomiting and dysphagia. We present a case report of 2year 6month old male with 3 months history of cough and vomiting later diagnosed to be a case of upper esophageal foreign body impaction.

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Endobronchial Foreign Body Presenting as Exacerbation of Asthma

Case Reports in Emergency Medicine ◽

10.1155/2017/6863083 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

James E. Tsang ◽

June Sun ◽

Gaik C. Ooi ◽

Kenneth W. Tsang

Keyword(s):

Foreign Body ◽

Respiratory Distress ◽

Foreign Bodies ◽

Main Bronchus ◽

Fiberoptic Bronchoscopy ◽

Clinical History ◽

Medical Personnel ◽

History Of ◽

Normal Chest ◽

Low Dose Computed Tomography

Airway foreign bodies are a leading cause of death among children and require urgent recognition by medical personnel. While most cases are diagnosed readily from a clinical history of acute respiratory distress, some cases remain more indolent and present later. We report the case of a 7-year-old boy who aspirated a “LEGO” toy and presented with a week history of increasing respiratory distress compatible with known asthma. Despite a normal chest X-ray, a low-dose computed tomography showed the presence of a foreign body in the left main bronchus, which was subsequently removed by fiberoptic bronchoscopy. Our case serves to reemphasize the importance of considering airway foreign bodies as a cause of respiratory distress, especially in young children.

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