Migratory Foreign Body Presenting with Thyroid Abscess

Main Article Content

Sudip Kumar Das
Chiranjib Das
Pritam Chatterjee
Shubhrakanti Sen
V D Prasanna Kumar Vasamsetty

Abstract

Introduction


The most common complication following accidental ingestion of a foreign body is entrapment in the upper digestive tract. Spontaneous penetration of a foreign body through the upper digestive tract and migration into the soft tissues of the neck is very uncommon. Consequences from such migratory foreign body can be serious and potentially fatal.


Case Report


Thirty six years old female presented with history of accidental ingestion of an unknown foreign body 3 days back. Clinical examination, plain radiography, hypopharyngoscopy and oesophagoscopy failed to find out the foreign body. Thereafter the patient developed thyroid abscess which was confirmed by computed tomography. Surprisingly we discovered the foreign body during surgical exploration of neck.


Conclusion


In a case of accidental ingestion of foreign body, even if initial evaluation with endoscopy and plain radiography are negative, the patient should be followed closely until resolution of symptoms. A high index of suspicion of migration of foreign body should be maintained. Retrieval of migratory foreign body needs surgical expertise and experience.

Article Details

How to Cite
1.
Das SK, Das C, Chatterjee P, Sen S, Vasamsetty VDPK. Migratory Foreign Body Presenting with Thyroid Abscess. BJOHNS [Internet]. 2021Sep.27 [cited 2024Nov.5];29(2):200-3. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/440
Section
Case report
Author Biographies

Sudip Kumar Das, Professor, Department of ENT, SSKM Medical College & Hospital

Professor, Department of ENT, SSKM Medical College & Hospital

Pritam Chatterjee, Senior Resident, Department of ENT, Bankura Sammilani Medical College & Hospital

Senior Resident, Department of ENT, Bankura Sammilani Medical College & Hospital

Shubhrakanti Sen, Assistant Professor, Department of ENT, Malda Medical College & Hospital

Assistant Professor, Department of ENT, Malda Medical College & Hospital

V D Prasanna Kumar Vasamsetty, Senior Resident, Department of ENT, Bankura Sammilani Medical College & Hospital

Senior Resident, Department of ENT, Bankura Sammilani Medical College & Hospital

References

Leong HK, Chan RKC. Foreign bodies in the upper digestive tract. Singapore Med J. 1989; 28:162-5

Nandi P, Ong GB. Foreign body m the oesophagus: Review of 2394 cases. Br J Surg. 1978; 65(1):5-9

Clerf LH. Foreign bodies in the air and food passages: observations on end-results in a series of nine hundred and fifty cases. Surg Gynae Obstet. 1940; 70:328-39

Yang CY. The management of ingested foreign bodies in the upper digestive tract: A retrospective study of 49 cases. Singapore Med J. 1991; 32:312-5

Jemerin EF, Aronoff JS. Foreign body in the thyroid following perforation of oesophagus. Surgery 1949; 25:52-9

Muhanna AA, Abu Chra KA, Dasti H, Behbehani A, Al-Naqeeb N. Thyroid lobectomy for removal of a fish bone. J Laryngol Otol. 1990; 104(6):511-2

Tang IP, Singh S, Shoba N, Rahmat O, Shivalingam S, Gopala KG, Khairuzzana B. Migrating foreign body into the common carotid artery and internal jugular vein-a rare case. Auris Nasus Larynx 2009; 36(3):380-2

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

Remsen K, Lawson W, Biller HF, Som ML. Unusual presentations of penetrating foreign bodies of upper GIT. Ann Otol Rhinol Laryngol Supp. 1983; 105:32-44

Lam HC, Woo JK, van Hasselt CA. Esophageal perforation and neck abscess from ingested foreign bodies: Treatment and outcomes. Ear Nose Throat J. 2003; 82(10):786-94

Goh YH, Tan NG. Penetrating oesophageal foreign bodies in the thyroid gland. J Laryngol Otol. 1999;113:769-71

Lu PK, Brett RH, Aw CY, Singh R. Migrating Oesophageal Foreign Body- An Unusual Case Singapore Med J. 2000; 41(2):77-9.

Most read articles by the same author(s)

1 2 > >>