Esophageal diverticulum arising from a prolonged retained esophageal foreign body

Glover, Porter H.; Westmoreland, Tamarah; Roy, Rishi; Sawaya, David; Giles, Henry; Nowicki, Michaeł

doi:10.1016/j.jpedsurg.2012.11.032

Cited by 15 publications

(6 citation statements)

References 13 publications

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“…They stated that the duration of impaction was less than 12 weeks in 83% of the patients and only 2 patients had a duration longer than two weeks [4]. Glover and colleagues presented a case of a child with a 2-year history of chronic cough after witnessed FB ingestion [3]. Also, in a case series of 5 children with FBs, Gilchrist et al reported the retention duration from 2 to 24 months [5].…”

Section: Discussionmentioning

confidence: 99%

“…In one study by Singh et al, the main factor that is associated with FB ingestion complication is the late presentation [14]. CEFB has been associated with severe complications including bronchoesophageal fistula, aortoesophageal fistula, esophageal perforation with resulting mediastinitis/abscess, complete esophageal stricture/esophageal obstruction, pulmonary edema, esophageal diverticulum, esophageal stricture requiring re-dilatation and malnutrition [[2], [3], [4], [5],14]. The main treatment modality is rigid esophagoscopy under general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…Esophagoscopy offers a safe and a widely available intervention for retrieval of FBs in the esophagus. Sometimes it is difficult to differentiate chronic esophageal foreign body (CEFB) ingestion from those patients with an upper respiratory tract infection or asthma or esophageal stenosis [2,3]. Ingested sharp objects carry the risk of perforating the esophagus leading to acute mediastinitis or acute bleeding, or rarely leading to abscess or fistula formation [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Ingested sharp foreign body presented as chronic esophageal stricture and inflammatory mediastinal mass for 113 weeks: Case report

Tashtush

Bataineh

Yusef

et al. 2019

Annals of Medicine and Surgery

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Introduction Impacted foreign bodies in the esophagus have the potential to cause serious complications. Ingested sharp objects carry the risk of acute complications as: perforation, acute mediastinitis, and acute bleeding. Rarely, such foreign bodies might migrate through the esophageal wall and present as chronic esophageal foreign body. Case presentation We present a case of a 36-month-old girl presented with solid food dysphagia and regurgitation proved to be secondary to esophageal stricture after 26 months of accidental ingestion of aluminum can tab which has migrated through the wall of the upper esophagus into the mediastinum. After two trials of endoscopic treatment; she underwent thoracotomy and partial esophagectomy. Multiple trials of dilation and Mitomycin C injection were followed because of re-stricture. Conclusion Foreign body impaction or secondary stricture needs to be considered in the differential diagnosis of children presenting with new onset dysphagia and regurgitation. Metallic Foreign body might be even radiolucent. Practitioners should keep a high index of suspicion for a retained esophageal FB in the child with gastrointestinal or respiratory symptoms that do not respond to standard therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ingested sharp foreign body presented as chronic esophageal stricture and inflammatory mediastinal mass for 113 weeks: Case report

Tashtush

Bataineh

Yusef

et al. 2019

Annals of Medicine and Surgery

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“…7 a), können laserchirurgisch, enoral-endoskopisch (l " Abb. 7 b), aber bei Erfordernis auch über einen zervikalen, lateralen Zugang operiert werden [38][39][40][41] " Schilddrüsenerkrankungen, Schilddrüsenoperation " mediastinale Raumforderungen: Metastasen, Lymphome, Mediastinitis, Abszesse " Bronchialkarzinom, Ösophaguskarzinom " Gefäßveränderungen: Aneurysma der A. carotis, Glomus jugulare, Glomus caroticum " Hypopharynxdivertikel " Tumoren des N. vagus " Gefäßoperationen " Halstrauma: Unfall, Strangulation, Überdehnung beim Sport oder durch Chiropraktik, Mediastinoskopie, Punktion der V. jugularis, Geburtstraumen " Halslymphknoten: Präoperativ bei Metastasen oder als Folge einer Neck Dissection " Herzoperation, Lungenoperation " endotracheale Intubation: Überdehnung des Nervs durch Lagerung oder Druckschädigung durch die Tubusmanschette " erregerbedingt oder toxisch: Streptokokkeninfektion, Influenza, Herpes zoster, Mononukleose, Diphtherie, Streptomycin, Chinin, Blei, Arsen…”

Section: Schluckstörungen (Hypopharynx öSophagus)unclassified

Was sollte der (Viszeral-)Chirurg von der HNO wissen – HNO-ärztliche Aspekte in der (Viszeral-)Chirurgie

Vorwerk

T²,

Vorwerk

2014

Zentralbl Chir

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The separation of laryngology and rhinology from the medical field and of otology from the surgical field in the 1850s led to the development of an independent field: the ear, nose and throat diseases, head and neck surgery. Therefore, oto-rhino-laryngology (ORL) has its roots in surgery. Concerning this and considering common anatomic circumstances, ORL medical aspects should be relevant to the surgeon. This concerns traumatological cases, the problem of difficult intubation and the common treatment of a series of illnesses of the upper aerodigestive tract, in particular problems of the major tumour surgery.

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“…Different schools of thought are in support of each theory (diverticulum leading to leiomyoma or leiomyoma to diverticulum), without a firm favorite so far. Their management varies from conservative to local excision for diverticula and from enucleation to oesophagectomy for leiomyomas [2, 3]. The diagnosis of the two entities preoperatively can be difficult to establish and frequently the discovery of the leiomyoma within the diverticulum is an incidental finding.…”

Section: Introductionmentioning

confidence: 99%

Association between Oesophageal Diverticula and Leiomyomas: A Report of Two Cases

Chowdhry

Spyratou

Lorenzi

et al. 2016

Case Reports in Gastrointestinal Medicine

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We report two rare cases of female patients presenting with oesophageal leiomyoma associated with oesophageal diverticulum, both of whom were surgically managed. Oesophageal leiomyoma and oesophageal diverticulum are uncommon as separate entities and rare as combined disease presentation. Clinicians need to be aware of the rare combination of the two entities and need to be able to exclude the presence of a tumour (benign or malignant) within a diverticulum and so plan the optimum treatment. Herein, we present two cases of oesophageal leiomyoma within oesophageal diverticulum and we try to elucidate the association between the two. To date, there is no consensus whether a diverticulum is secondary to a leiomyoma or, on the contrary, a leiomyoma arises within a diverticulum.

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Esophageal diverticulum arising from a prolonged retained esophageal foreign body

Cited by 15 publications

References 13 publications

Ingested sharp foreign body presented as chronic esophageal stricture and inflammatory mediastinal mass for 113 weeks: Case report

Ingested sharp foreign body presented as chronic esophageal stricture and inflammatory mediastinal mass for 113 weeks: Case report

Was sollte der (Viszeral-)Chirurg von der HNO wissen – HNO-ärztliche Aspekte in der (Viszeral-)Chirurgie

Association between Oesophageal Diverticula and Leiomyomas: A Report of Two Cases

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