Migrating Extraluminal Foreign Body Hypopharynx

Akulwar, AV; Dwivedi, Gunjan; Dwivedi, Deepak

doi:10.1016/s0377-1237(10)80152-2

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…Seven-point three percent of major complications occurred in oesophageal FB and the risk of complications increases 14 times when the FB is impacted for more than 24 hours (6) . Although in our case the FB was removed more than 24 hours after initial ingestion, no major complications such as injury to vessels, neck abscess, oesophageal perforation or mediastinitis occurred (1,(6)(7)(8)(9)(10) .…”

Section: Fig 1 Neck Ct Soft Tissue Window Axial Cut (A) Showing Extra...mentioning

confidence: 61%

“…Extraluminal migration of FB in the upper oesophagus is rare but when it does occur, it can lead to serious complications as it can migrate anywhere in the neck region, causing injury to its structures (1) . Commonly ingested food particles that cause extraluminal FB migration usually will have a sharp edge and are horizontally placed that can pierce through oesophageal mucosa as per this case scenario (2) .…”

Section: Discussionmentioning

confidence: 99%

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Extraluminal migration of fish bone to the thyroid gland

Abdul Rashid,

Noh,

Abdullah

et al. 2023

Pediatr Med Rodz

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Extraluminal migration of a foreign body in the oesophagus is rare. It can result in life-threatening complications as it can migrate anywhere causing injury to vital vessels and structures in the neck region. The patient’s outcome depends on prompt diagnosis and early intervention. We present a case of a 52-year-old female with a complaint of sharp pricking pain in her throat with a history of fish bone ingestion one-day prior. Direct laryngoscopy and oesophagoscopy failed to localise the foreign body and the symptoms persisted for 3 days. Computed tomography scan confirmed a foreign body located between the right carotid sheath and the right thyroid gland. We proceeded with neck exploration and successfully removed the foreign body. Multiple difficulties were encountered in localising the foreign body as its location differed from the one in the initial computed tomography scan.

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Section: Fig 1 Neck Ct Soft Tissue Window Axial Cut (A) Showing Extra...mentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Extraluminal migration of fish bone to the thyroid gland

Abdul Rashid,

Noh,

Abdullah

et al. 2023

Pediatr Med Rodz

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“…Hypopharyngeal foreign bodies are usually found intraluminally, cases with extraluminal foreign body has been reported rarely in the literature. A plain radiograph is usually used to confirm the diagnosis of an ingested metallic foreign body, but diagnosis and the exact location of these extraluminal foreign bodies and its relation to the vital structures can be established with CT scan of neck which provides a road map for surgical intervention which was imperative in our case [1,2,5,6].…”

Section: Discussionmentioning

confidence: 99%

Extraluminal Migration of a Metal Needle in a Child: Case Report of Unusual Complication

Belhoucha¹

2014

Int J Surg Res Pract

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However, sharp and pointed foreign bodies get impacted in the surrounding walls of the lumen. The mechanism by which these foreign bodies propelled through the soft tissues is due to movement of neck muscles and combination of esophageal peristalsis [2,4]. Some authors think that carotid pulsations, tissue reaction as well as infection and abscess formation could also play a role in migration of foreign bodies [1,3,4].Generally, a swelling in the neck after a history of impaction of foreign body must alert the surgeon of the possibility of perforation and migration of the foreign body into the soft tissues of the neck with subsequent infection and inflammation and can cause potentially fatal complications depending on the direction and site of the migration [2,4].

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“…A vast majority of foreign bodies become impacted in the tonsils, base of tongue or vallecula which can be easily removed with forceps as an outpatient procedure. 1 In a few cases, the foreign body becomes lodged at the cricopharynx or at the oesophagus constrictions, which require a rigid oesophagoscopy under general anaesthesia for removal. An even smaller fraction of cases occurs in which the foreign body perforates the wall of oesophagus and "migrates" into the tissues of neck.…”

Section: Introductionmentioning

confidence: 99%

Migrating foreign body of oesophagus: an enigmatic presentation

Sood

Gupta

Philip

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Ingested foreign bodies are medical emergencies that test the clinical acumen and skill of the otolaryngologist. The foreign body may be intra-luminal, intra-mural (penetrating the wall) or extra-luminal. The migration of an ingested foreign bodies extraluminally from the upper aero-digestive tract is a rare occurrence which may be difficult to diagnose and treat. Time is of essence in detection and management of these cases so that life threatening complications can be prevented. We present a case of a 51 years old female patient with a metallic foreign body in the oesophagus which migrated extraluminally. Surgical Exploration via transcervical approach was done to gain access for removal of the foreign body.</p>

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Migrating Extraluminal Foreign Body Hypopharynx

Cited by 4 publications

References 8 publications

Extraluminal migration of fish bone to the thyroid gland

Extraluminal migration of fish bone to the thyroid gland

Extraluminal Migration of a Metal Needle in a Child: Case Report of Unusual Complication

Migrating foreign body of oesophagus: an enigmatic presentation

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