An Unusual Foreign Body Impacted in the Cervical Esophagus and Hypopharynx

Brenner, Lacie; Godwin, Steven A.; Muñoz, Juan A.; Scolapio, James S.; Li, XIaoyu

doi:10.14309/00000434-201210001-00607

Cited by 1 publication

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“…In adults, intentional FBI may be associated with psychiatric conditions [ 4 , 8 , 9 ]. Notable cases requiring removal include a 17-cm wrench [ 10 ] and 12-cm metal spring [ 11 ]. In the one case describing FBI in the setting of PPP, no endoscopic or surgical intervention was reported, likely due to the objects’ small, blunt nature [ 3 ].…”

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confidence: 99%

Traumatic xylophagia leading to foreign body removal and tracheostomy in the setting of postpartum psychosis

Anderson

Allen

McKee

et al. 2021

Journal of Surgical Case Reports

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Postpartum psychosis (PPP) is a severe mood disorder following childbirth that rarely leads to injurious or suicidal behavior. This report illustrates otolaryngologic intervention for pharyngeal laceration and airway instability following traumatic foreign body ingestion in the setting of PPP. A 25-year-old woman with PPP presented with hemoptysis after attempting suicide by traumatically forcing tree branches into her oropharynx. Imaging revealed pneumomediastinum, and flexible laryngoscopy and esophagoscopy showed a large foreign body (tree branch) extending from the hypopharynx to the gastroesophageal junction. She was taken to the operating room for direct microlaryngoscopy, bronchoscopy and esophagoscopy with removal of the 25-cm tree branch. Panendoscopy revealed a mucosal laceration at the cricopharyngeus with supraglottic and hypopharyngeal edema but no injury to the larynx. Due to airway concerns, a cuffed tracheostomy was placed along with a gastrostomy tube for feeding access. She tolerated her postoperative course with successful decannulation and oral feeding prior to discharge.

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