An unusual case of Ayurvedic tablet as foreign body cricopharynx
Keywords:Foreign body cricopharynx, Ayurvedic tablet, Radio opaque
A cricopharyngeal foreign body is a common emergency to any otolaryngologist in their clinical practice. Coins, button batteries, pencil tips, screws, tooth brush, safety pin are usually found in children but are rarely seen in adults in the cricopharynx. We present an unusual case of ayurvedic tablet as a foreign body in a 40-year-old female who swallowed an Ayurvedic tablet. She complained of absolute dysphagia to both solids and liquids. Such tablets are usually radiolucent and are not visualised on routine radiographs. Unexpectedly, on the X-ray lateral view of the neck, cricopharynx area showed a circular radio opaque shadow radio opaque shadow. Foreign body was removed by hypopharyngoscopy and patient was discharged with no complaints. Ayurvedic tablet as radio opaque shadow is a rare presentation and only one similar case has been reported so far.
Matsuo K, Palmer JB. Anatomy and Physiology of feeding and swallowing - Normal and abnormal. Phys med rehabil Clin N Am. 2008;19:691-7.
Birchell MA, Croft CB, Hibbert J. Scott Brown’s otolaryngology, examination and Endoscopy of the upper aerodigestive Tract, Great Britain, Butterworth- Heinemann; 1997.
Sivarao DV, Goyal RK. Functional Anatomy and physiology of the upper Oesophageal sphincter. Am J Med. 2000;108:27-37.
Eren N, Özgen G, Kuseyrigil F, Yaman T, Ceran S. Les corps étrangers Oesophagiens (apropos 48 cas). J dicle Univ Sch Med. 1985;12:119-27.
Yavuzer S, Aslan R, Akay H, Ulus T, Özek A, Içöz V, et al. Foreign bodies of the oesophagus. Review Of 52 cases. J Ankara Univ Sch Med. 1977;30:77-105.
Cangu Ak, Tug T, Okten I. An unusual Foreign body in oesophagus; report of a Case. Surg today. 2002;32:523-4.
Goh YN, Tan NG. Radiological features of Unusual ingested foreign bodies. Singapore Med J. 2001;42:129-30.
Yp LWL, Guh FSG, Sin RST. I’ve got a U.f.o stuck in my throat- an interesting Case of foreign body impaction in Oesophagus. Singapore Med J. 1998;39:121-3.
Selivanov V, Sheldon GF, Cello JP, Crass RA. Management of foreign body Ingestion. Ann Surg. 1984;199:187-91.
Saper RB, Kales SN, Paquin J, Burns MJ, Eisenberg DM, Davis RB, et al. Heavy metal content of ayurvedic herbal Medicine product. JAMA. 2004;292:2868-73.