Penetrating oesophageal foreign bodies in the thyroid gland

Goh, Yau Hong; Tan, Nam Guan

doi:10.1017/s0022215100145165

Cited by 30 publications

(26 citation statements)

References 7 publications

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“…The FB began to migrate in the esophagus within 10 h and penetrated the esophageal wall into the surrounding adipose space within about 1 day. The contraction of the cricopharyngeal muscle during swallowing probably played a significant role in this process [11]. Given the barrier roles of the anterior (trachea) and posterior (cervical vertebra) regions of the esophageal wall [11], a FB may penetrate only through the lateral wall of the esophagus toward the level of the right or left thyroid gland (no predilection).…”

Section: Discussionmentioning

confidence: 99%

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The utility of repeated computed tomography to track a foreign body penetrating the esophagus to the level of the thyroid gland

et al. 2013

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ObjectiveForeign body (FB) ingestion is a common problem in otolaryngology. One uncommon complication of FB ingestion is penetration to the level of the thyroid gland. To our knowledge, only 21 such cases have been reported in the literature. Here, we report a case of an esophageal FB penetrating to the level of the right thyroid gland.Case reportThe patient was a 38-year-old woman in whom an esophageal FB penetrated to the level of the right thyroid gland. We traced the path to the thyroid gland using repeated computed tomography (CT) scans and demonstrated the importance of multiplanar reconstruction in locating the FB and formulating a precise surgical plan.ConclusionsTo our knowledge, this is the first report of repeat CT scans being used to demonstrate the migratory route, over time, of a FB penetrating through the esophagus to the level of the thyroid gland. Our results suggest that multiplanar reconstruction may play a key role in the precise diagnosis of a FB at the level of the thyroid gland and may help surgeons choose the best approach for removal.

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Section: Discussionmentioning

confidence: 99%

“…Our patient swallowed a fine, pointed wire. The nature of the FB may facilitate transmural esophageal penetration and subsequent migration to the level of the thyroid gland [11]. Al-Sebeih et al [17] suggested that the more horizontally oriented and sharper the FB is, the higher the risk of penetration.…”

Section: Discussionmentioning

confidence: 99%

The utility of repeated computed tomography to track a foreign body penetrating the esophagus to the level of the thyroid gland

et al. 2013

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“…[5][6] The mechanism of migration is thought to be due to movements of muscles of neck and viscera during voluntary or involuntary movements. [7] In this case though Direct laryngoscopy, and Eosophagoscopy were negative and radiography is positive, as there is no involvement of deep vessels, [8] penetration of thyroid gland [9] and no evidence of injury to deeper structures, is against the possibility of migration of foreign body.…”

Section: Discussionmentioning

confidence: 61%

Uncommon Presentation of Unnoticed Embedded Foreign Body Neck : A Rare Case Report

Parusharam¹,

K²,

S³

et al. 2015

jemds

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ABSTRACT:In a case of foreign body usually history will be suggestive and guide ENT surgeon towards diagnosis. When there is no history of foreign body ingestion or penetration, it is in nobody's view of diagnosing a foreign body. We report a case of foreign body neck in a female patient aged about 30yrs, who presented with neck swelling without any history of foreign body ingestion or penetration externally. On exploration a foreign body wire piece was removed. This case of embedded foreign body is considered as uncommon and presented as rare case.

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“…These include the orientation and pointed shape of the fish bone[4], contraction of the cricopharyngeus muscle during swallowing[9] or neck muscles during neck movement, and local inflammation of the esophageal or pharyngeal wall and direct pressure necrosis[10]. In a Singaporean series, there were 24 cases of migrating FBs, and they concluded that all of the migrated FBs were linear, sharp fish bones with horizontal orientation were more likely to migrate extraluminally to the path of least resistance[4].…”

Section: Discussionmentioning

confidence: 99%

Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess

Johari¹,

Khaw²,

Yusof³

et al. 2016

WJCC

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Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract. We report 3 cases of extraluminal migration of fish bone and their complications, which were successfully managed. One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland, retropharyngeal and parapharyngeal abscess.

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Penetrating oesophageal foreign bodies in the thyroid gland

Cited by 30 publications

References 7 publications

The utility of repeated computed tomography to track a foreign body penetrating the esophagus to the level of the thyroid gland

The utility of repeated computed tomography to track a foreign body penetrating the esophagus to the level of the thyroid gland

Uncommon Presentation of Unnoticed Embedded Foreign Body Neck : A Rare Case Report

Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess

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