Migrating foreign body of oesophagus: an enigmatic presentation

Amit Sood; Vikas Gupta; Suresh T. Philip; Uma Patnaik; Gunjan Dwivedi; Manoj Kumar

doi:10.18203/issn.2454-5929.ijohns20190787

Authors

Amit Sood Department of of ENT-HNS, Command Hospital, Armed Forces Medical College, Pune, India
Vikas Gupta Department of of ENT-HNS, Command Hospital, Armed Forces Medical College, Pune, India
Suresh T. Philip Department of of ENT-HNS, Command Hospital, Armed Forces Medical College, Pune, India
Uma Patnaik Department of of ENT-HNS, Command Hospital, Armed Forces Medical College, Pune, India
Gunjan Dwivedi Department of of ENT-HNS, Command Hospital, Armed Forces Medical College, Pune, India
Manoj Kumar Department of of ENT-HNS, Command Hospital, Armed Forces Medical College, Pune, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20190787

Keywords:

Foreign body, Migration, Extra luminal, Oesophagus, Upper aero-digestive tract

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.

Metrics

Metrics Loading ...

References

Akulwar AV, Dwivedi G, Dwivedi D. Migrating extra luminal foreign body hypopharynx. MJAFI. 2010;66:196-7.

Sathe NU, Shelke S, Priya R, Chavan K. Sewing needle migrating from esophagus into prevertebral space: A challenging case. Surgical Techniques Development. 2018;8(1).

Kapil N, Kalayarasan R, Biju P, Sandip C, Senthil G. Laparoscopic Removal of an Ingested Foreign Body with Transesophageal Migration into the Mediastinum. Cureus. 2018;10(5).

Peters NJ, Mahajan JK, Bawa M, Chabbra A, Garg R, Rao KL. Esophageal perforations due to foreign body impaction in children. J Pediatric Surg. 2015;50(8):1260-3.

Lu PK, Brett RH, Aw CY, Singh R. Migrating oesophageal foreign body-an unusual case. Singapore Med J. 2000;41(2):77-9.

Loh SK, Tan SLK, Smith JD, Yeoh HK, Dong F. Complications of foreign bodies in the esophagus. Otolaryngol Head Neck Surg. 2000;123(5):613-6.

Murthy PS, Bipin TV, Ranjit R, Murty KD, George V, Mathew KJ. Extraluminal migration of swallowed foreign body into the neck. Am J Otolaryngol. 1995;16(3):213-5.

Remsen K, Biller HF, Lawson W, Som ML. Unusual presentations of penetrating foreign bodies of the upper aerodigestive tract. Ann Otol, Rhinol Laryngol. 1983;92(4):32-44.

Chee LW, Sethi DS. Diagnostic and therapeutic approach to migrating foreign bodies. Ann Otol, Rhinol Laryngol. 1999;108(2):177-80.

AM S. Foreign body perforation of the normal oesophagus. Eur J Cardio-thorac Surg. 1992;6:565-7.