An Asymptomatic Pointed Foreign Body in the Hypopharynx-A Rare Case Report

Main Article Content

Jyotiranjan Das
Debangshu Ghosh
Jayanta Saha
Sumit Kumar Basu

Abstract

Introduction


Foreign body ingestion is an ENT emergency frequently encountered in both children and adults.


Case Report


A case of an open safety pin in the hypopharynx in a fifteen year old boy is reported, which remained impacted there for the past 15 days without any significant symptom or complication. CT scan, performed before surgical intervention, did not show any migration of this foreign body from its intraluminal site. This was removed by ‘Magill forceps technique’. Postoperative period was uneventful.


Conclusion


Pointed foreign body may present with negligible symptoms and that too may stay in the cricopharynx for long without migration. Magill forceps technique can be a good surgical option in such cases.

Article Details

How to Cite
1.
Das J, Ghosh D, Saha J, Basu SK. An Asymptomatic Pointed Foreign Body in the Hypopharynx-A Rare Case Report. BJOHNS [Internet]. 2016Aug.26 [cited 2024May11];24(2):100-5. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/85
Section
Case report
Author Biographies

Jyotiranjan Das, R.G.Kar Medical College, Kolkata

Dept of Otolaryngology  Junior Resident

Debangshu Ghosh, R.G.Kar Medical College, Kolkata

Dept of Otolaryngology RMO Cum Clinical Tutor

Jayanta Saha, R.G.Kar Medical College, Kolkata

Dept of Otolaryngology Assistant Professor

Sumit Kumar Basu, R.G.Kar Medical College, Kolkata

Dept of Otolaryngology Professor & HOD

References

Webb WA, McDaniel L, Jone L. Foreign bodies of the upper gastrointestinal tract: Current management. South Med J. 1984; 77:1083-6

Hawkins D. Removal of blunt foreign bodies from the esophagus. Ann Otol Rhinol Laryngol. 1990; 99:935-40

Hamilton JK, Polter DE. Gastrointestinal foreign bodies.In: Gastrointestinal disease: Pathophysiology, Diagnosis and Management, editors. Sleisenger MH, Fordtran JS. Philadelphia; W.B. Saunders Co; 1993. p. 286–92

Reiley BK, Stool D, Chen X, Rider G, Stool SE, Reily JS. Foreign body in children in the twentieth century, a modern comparison to the Jackson collection. International Journal of Pediatric Otorhinolaryngology. 2003; 67; S171-4

Johnson JT, Clark A.R. Bailey’s Head & Neck Surgery-Otolaryngology. 5th ed. Vol.1 Philadelphia:Lippincott Williams and Wilkins; 2014: p857

Morley RE, Ludemann JP, Moxham JP, Kozak FK, Riding KH. Foreign body aspiration in infants and toddlers:Recent trends. British Columbia J of Otolaryngology. 2004 ; 33:37-41

Michael Gleeson et al eds. Scott- Brown’s otorhinolaryngology, head and neck surgery. 7th edition vol. 1. London: Hodder Arnold publication; 2008:1187

Tibbling L, Stenquist M. Foreign bodies in the esophagus: A study of causative factors. Dysphagia. 1991;6:224-7

De Souza C, Goycoolea M, Ruah C. Eds. Textbook of the Ear Nose and Throat. Hyderabad: Orient Longman Ltd.1995: p 202

Khan MA, Hameed A, Choudhry AJ. Management of foreign bodies in the esophagus. Journal of College of Physicians and Surgeons of Pakistan. 2004;14(4):218-20

Singh BK, Har LG, Lucente FE. Complications associated with foreign bodies of pharynx, larynx and esophagus. Annals of Otology Rhinology and Laryngology.1997; 106: 301-4

Tokar A, Cevik A, Ilhan H. Ingested gastrointestinal foreign bodies: predisposing factors for complications in children having surgical or endoscopic removal. International J. of Pediatric Surgery 2007; 23(2):135–9

Sharma NK, Yadav VK, Pokharna P, Devgaraha S, Mathur RM. Surgical management of an impacted sharp metallic foreign body in esophagus. International J of Case Reports and Images.2013;4(9):463–6

Wadhera R, Gulati S, Garg A, Ghai A. An Unusual Sharp Foreign Body Esophagus: A Razor Blade.The Internet J of Head and Neck Surgery[Internet].2006; 2(1):1-3 [Cited 14 Jan 2016] Available from: www.ispub.com/IJHNS/2/1/3160

Shivakumar AM, Naik AS, Prashanth KB, Hongal GF, Chaturvedi G. Foreign bodies in upper digestive tract. Indian J Otolaryngology Head Neck Surgery 2006; 58(1):67-70

Singhal SK, Vipin A, Dass A. Online Journal of Health and Allied Sciences ISSN 0972-5997. Jan-Mar 2010; Vol.9, Issue 1

Rohila V, Bhuie HS, Mathur N et al. Embedded sharp metallic angulated nail in esophagus of an infant a matter of concern. J Evid Based Med Healthc. 2015; 2(59), 8983-85. DOI: 10.18410/jebmh/2015/1272

Pelucchi S, Bianchini C, Ciorba A, Pastore A. Unusual foregin body in upper esophagus: A case report. Acta Otorhinolaryngol Ital. 2007;27(1):38–40

Shinde KJ, Gupta A. An unusual foregin body in esophagus. Indian J Otolaryngology Head Neck Surgery.1999; 51(Suppl 1):62-4 doi:10.1007/BF03001558

Agbomhekhe OS, Fatai O, Abraham O, Blessing I. Fish hook and line impaction in the Esophagus: An unusual and interesting foreign body. IOSR Journal of Dental and Medical Sciences 2014;13(6):63-4

Chang JM, Yoo YS, Kim DW. Application of three-dimensional reconstruction in oesophageal foreign bodies. The Korean J. of Thoracic and Cardiovascular Surgery. 2011; 44(5):368-72

Singh GB, Aggarwal D, Mathur BD, Lahiri TK, Aggarwal MK, Jain RK. Role of Magill Forcep in retrieval of foreign body coin. Indian J. Otolaryngology Head Neck Surgery 2009; 61(1):36-8

Takrouri MSM, Hamad A, Sweidi A. Esophageal tear after removal of pin ended earring from hypopharynx of a child: Case report and review of literature. Anaesthesia Essays Res. 2010:4(2):109-11

Ramadass T, Chakravarthi R, Kumar VS, Rao M. Intraluminal migrating foreign body(open safety pin) in the oesophagus. Indian J. Otolaryngology Head Neck Surgery 1995; 47(3):217-8

Most read articles by the same author(s)