scholarly journals Foreign Body Ingestion: Rare Cause of Cervical Abscess

2014 ◽  
Vol 27 (6) ◽  
pp. 743 ◽  
Author(s):  
Liliana Costa ◽  
João Larangeiro ◽  
Carla Pinto Moura ◽  
Margarida Santos
Keyword(s):  
Foreign Body ◽  
Rare Complication ◽  
Flexible Endoscopy ◽  
Retropharyngeal Abscess ◽  
Foreign Body Ingestion ◽  
Deep Neck Infection ◽  
Diagnostic Challenge ◽  
Foreign Body Removal ◽  
Neck Infection ◽  
Rigid Esophagoscopy

<p><strong>Introduction:</strong> Foreign body ingestion is a frequent emergency occurrence. Serious complications, although rare, include pharyngooesophageal perforation, aorto-oesophageal fistula and deep neck infection.<br /><strong>Material and Methods:</strong> A retrospective review was performed of all cases of foreign body ingestion requiring hospitalization between 1989 and 2011, in a tertiary Hospital. Cases complicated by deep cervical abscess were selected and their clinical presentation, results of diagnostic exams, therapeutics and clinical evolution are presented.<br /><strong>Results: </strong>Among a total of 1679 cases, 319 were related to pediatric patients and 1360 to adults. Two cases were reported (0.12%): an adult, 41 years-old, with parapharyngeal abscess subsequent to fishbone ingestion, and a child, 13 months-old, with retropharyngeal abscess consequent to chicken bone ingestion. Complications appeared three and four days after foreign body removal, respectively. In both situations cervical computerized tomography scan with contrast and surgical drainage were accomplished; the child was also submitted to rigid esophagoscopy for residual foreign body removal and closure of the associated pharyngeal laceration.<br /><strong>Discussion:</strong> Deep cervical abscesses are an uncommon but possible complication of foreign body ingestion and constitute a diagnostic challenge, particularly in children. Previous oesophageal manipulation by flexible endoscopy may be considered a risk factor for such complication. Imagiological studies proved to be crucial for diagnosis and therapeutic planning.<br /><strong>Conclusion:</strong> Although a rare complication, given a recent history of foreign body ingestion/removal and the presence of compatible symptoms, cervical abscesses should be taken into account, highlighting their potential morbimortality in the absence of an appropriate therapeutic approach.<br /><strong>Keywords:</strong> Foreign Body; Abscess; Esophagoscopy; Neck.</p>

Analysis of 334 Cases of Pediatric Esophageal Foreign Body Removal Suggests that Traditional Methods Have Similar Outcomes Whereas a Magnetic Tip Orogastric Tube Appears to be an Effective, Efficient, and Safe Technique for Disc Battery Removal

2018 ◽  
Vol 84 (7) ◽  
pp. 1152-1158 ◽  
Author(s):  
P. Benson Ham ◽  
Mark A. Ellis ◽  
Erika L. Simmerman ◽  
Nathaniel J. Walsh ◽  
Alykhan Lalani ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Flexible Endoscopy ◽  
Success Rates ◽  
Esophageal Foreign Body ◽  
Traditional Methods ◽  
Foreign Body Removal ◽  
Orogastric Tube ◽  
Rigid Esophagoscopy ◽  
Procedural Time

Procedures and outcomes for pediatric esophageal foreign body removal were analyzed. Traditional methods of battery removal were compared with a magnetic tip orogastric tube (MtOGT). A single institution retrospective review from 1997 to 2014 of pediatric patients with esophageal foreign bodies was performed. Balloon extraction with fluoroscopy (performed in 173 patients with 91% success), flexible endoscopy (92% success in 102 patients), and rigid esophagoscopy (95% in 38 patients) had excellent success rates. A MtOGT had 100 per cent success in six disc battery patients, when other methods were more likely to fail, and was the fastest. Power analysis suggested 20 patients in the MtOGT group would be needed for significant savings in procedural time. Thirty-two per cent of all foreign bodies and 95 per cent of batteries had complications (P = 0.002) because of the foreign body. Overall, 1.2 per cent had severe complications, whereas 10 per cent of batteries had severe complications (P = 0.04). Each technique if applied appropriately can be a reasonable option for esophageal foreign body removal. Magnetic tip orogastric tubes used to extract ferromagnetic objects like disc batteries had the shortest procedure time and highest success rate although it was not statistically significant. Disc batteries require emergent removal and have a significant complication rate.

scholarly journals Foreign Body Pyriform Sinus: A Rare Presentation

2013 ◽  
Vol 4 (3) ◽  
pp. 142-144
Author(s):  
Ravi Meher ◽  
Kanika Rana ◽  
Eishaan Kamta Bhargava
Keyword(s):  
Foreign Body ◽  
Unusual Case ◽  
Lateral Wall ◽  
Clinical Problem ◽  
Pyriform Sinus ◽  
Foreign Body Ingestion ◽  
Rare Presentation ◽  
Rigid Esophagoscopy ◽  
Common Clinical Problem ◽  
Head Neck

ABSTRACT Foreign body ingestion is a common clinical problem. Here we present an unusual case of a foreign body (needle) that got embedded in the lateral wall of pyriform sinus (PFS) and could not be retrieved via rigid esophagoscopy. The foreign body could not be visualized on neck exploration and was located by palpation of the mucosa of the lateral wall of PFS and use of a sterile magnet. How to cite this article Rana K, Meher R, W adhwa V, Bhargava EK. Foreign Body Pyriform Sinus: A Rare Presentation. Int J Head Neck Surg 2013;4(3):142-144.

scholarly journals A Case of Retropharyngeal Abscess Resulting from Infected Paratracheal Cyst

2020 ◽  
Vol 63 (3) ◽  
pp. 134-137
Author(s):  
Eun Soo Lee ◽  
Heon Soo Park ◽  
Sang Hyeon Kim ◽  
Dong Kun Lee
Keyword(s):  
Chronic Infection ◽  
Total Population ◽  
Case Reports ◽  
Retropharyngeal Abscess ◽  
Deep Neck Infection ◽  
Ciliated Epithelium ◽  
Neck Infection ◽  
Common Location ◽  
Tracheal Diverticulum ◽  
The Right

A paratracheal cyst is an air-filled cyst lined by a ciliated epithelium, commonly referred to as a tracheal diverticulum. The most common location of paratracheal cysts is the right side of posterolateral tracheal wall. It occurs in 0.3% to 8.1% of the total population. Most paratracheal cysts are asymptomatic and discovered incidentally on routine radiologic examination. Rarely, however, symptoms such as cough or fever are encountered and chronic infection of the paratracheal cyst usually present itself like a tucoberculosis or a tumor. There are few case reports of deep neck infection caused by a paratracheal cyst. We report a case of retropharyngeal abscess resulting from an infected paratracheal cyst.

scholarly journals An algorithm for retrieval tools in foreign body ingestion and food impaction in children

2020 ◽  
Author(s):  
Ergun Ergun ◽  
Ufuk Ates ◽  
Gulnur Gollu ◽  
Kutay Bahadir ◽  
Aydin Yagmurlu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Material Removal ◽  
Demographic Data ◽  
Flexible Endoscopy ◽  
Foreign Body Ingestion ◽  
Food Impaction ◽  
Endoscopic Techniques ◽  
Rigid Endoscopy ◽  
Removal Technique ◽  
Button Batteries

Summary The aim of this study is to review the experience on managing foreign body ingestion in children with special emphasis on the endoscopic techniques and specific retrieval devices used for foreign body (FB) extraction. The charts of 341 children were reviewed retrospectively. Demographic data, ingested material, removal technique and tool, level of FB, complications, and outcomes were recorded. A total of 364 FBs were removed from 341 children. Among these, 56.5% (n: 206) were entrapped in esophagus, 39% (n: 142) were in stomach, and 4.5% (n: 16) in duodenum and intestine. The most frequently ingested items were coin (42.5%), button batteries (20.6%), and safety pins (12%). Optical forceps (37.9%) were the most commonly used tool and they were used during retrieval of esophageal FB by rigid endoscopy. Retrieval net (20.7%) was the second most common tool and the most common one during flexible endoscopy. Depending on our experience, we strongly advocate rigid endoscopy for esophageal FBs and food impaction in children because it allows both to use optical forceps with a strong grasping ability for blunt FBs and to position sharp and pointed objects inside the rigid endoscope. We recommend retrieval net as the first tool for the extraction of blunt objects and rat tooth retrieval forceps is the best tool for sharp and pointed FBs in stomach.

scholarly journals Acute Retropharyngeal Abscess Masquerading as Meningitis

2017 ◽  
Vol 56 (205) ◽  
pp. 186-188 ◽  
Author(s):  
Pirabu Sakthivel ◽  
Rijendra Yogal ◽  
Hitesh Verma ◽  
Anil Saini ◽  
Ashwin Chandran
Keyword(s):  
Airway Obstruction ◽  
High Index ◽  
Retropharyngeal Abscess ◽  
Deep Neck Infection ◽  
Imaging Studies ◽  
X Ray ◽  
Neck Infection ◽  
High Index Of Suspicion ◽  
Physical Findings ◽  
Prompt Diagnosis

Retropharyngeal abscess is a potentially serious deep neck space infection occurring more frequently in children than in adults. The clinical picture of RPA is highly variable with paucity of physical findings. Prompt diagnosis of RPA especially in infants is mandatory to prevent potential fatal complications including airway obstruction. The diagnosis of RPA should be based on high index of clinical suspicion with supportive imaging studies like lateral X-ray of neck and CT. We present a case of acute retropharyngeal abscess which was initially misdiagnosed as meningitis and led to airway obstruction. This case is reported to create awareness among emergency physicians, paediatricians and otolaryngologists to have high index of suspicion in diagnosing RPA especially in infants. Keywords:  retropharyngeal abscess; meningitis; deep neck infection.

scholarly journals Retropharyngeal abscess complicating 'innocent' foreign body ingestion

2014 ◽  
Vol 2014 (apr23 1) ◽  
pp. bcr2014204010-bcr2014204010
Author(s):  
Z. Vourexakis ◽  
P. Konu
Keyword(s):  
Foreign Body ◽  
Retropharyngeal Abscess ◽  
Foreign Body Ingestion

scholarly journals Foreign body a fish in orohypopharynx with complication vocal cord paralysis

2018 ◽  
Vol 41 (1) ◽  
pp. 32
Author(s):  
Ade Asyari ◽  
Novialdi Novialdi ◽  
Nur Azizah
Keyword(s):  
Foreign Body ◽  
Vocal Cord ◽  
Endotracheal Intubation ◽  
Rare Case ◽  
Vocal Cord Paralysis ◽  
Rare Complication ◽  
Upper Airway ◽  
Pharyngeal Wall ◽  
Magill Forceps ◽  
Rigid Esophagoscopy

Introduction: Foreign body a fish in oro-hypopharynx is a rare case and require rapid diagnosis and immediate treatment to prevent complication. There are some complications that can occur, such as upper airway obstruction, perforation of the pharyngeal wall, vocal cord paralysis, pneumomediastinum, and emphysema. Vocal cord paralysis is rare complication caused by a foreign body in the pharynx. The management for pharyngeal foreign bodies is the extraction of a foreign body with Magill forceps, direct laryngoscopy, and rigid endoscopy. Tracheostomy should be performed if endotracheal intubation could not be done or failed to be performed. Objective: Understanding diagnosis and management of patient foreign body a fish in an oro-hypopharynx. Case report: Reported a case, male 40 years old, with diagnosis foreign body a fish in oro-hypopharynx with complication unilateral vocal cord paralysis. The Foreign body was extracted using Magill forceps and rigid esophagoscopy with tracheostomy preparation if endotracheal intubation was failed to perform. Conclusion: Foreign body a fish in oro-hypopharynx is a rare case. Precise diagnosis and treatment are very important to prevent complication. Vocal cord paralysis is a rare complication caused by a foreign body in oro-hypopharynx.

scholarly journals Overtubes and Foreign Bodies

1990 ◽  
Vol 4 (9) ◽  
pp. 599-602 ◽  
Author(s):  
Norman E Marcon
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Flexible Endoscopy ◽  
X Rays ◽  
Glass Bottle ◽  
New Techniques ◽  
Foreign Body Removal ◽  
Gastrostomy Tubes ◽  
Button Batteries

The most common article ingested in adults is food or food products such as nuts, shells, pits and bones. Poorly chewed steak causing bolus obstruction occurs especially in the elderly, while coins are most common in the pediatric group. New techniques of flexible endoscopy have altered and improved management, decreasing the need for surgery. A foreign body in the esophagus mandates prompt removal to avoid perforation. At least 80% of foreign, bodies reaching the stomach pass spontaneously. Once the foreign body is beyond the distal duodenum, it should be followed with serial x-rays. Techniques of removal of meat, bones, shells, bezoars, glass, bottle tops, sharps, pencils, pens, wires, thermometers, gastrostomy tubes, obesity balloons, safety pins, razor blades, button batteries and cocaine packets are described. Complications related to foreign body removal are rare.

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