2022, Number 2
<< Back Next >>
Mul Med 2022; 26 (2)
Migrant pharyngeal foreign body. About a case
Ramírez IC, Pedreira AJA, Infante FY
Language: Spanish
References: 16
Page:
PDF size: 256.86 Kb.
ABSTRACT
Introduction:
the pharynx is the most common site of lodging of foreign bodies within the otorhinolaryngological area. Diagnosis and removal are usually easy. Fortunately, however, a few become deeply ingrown and cause neck infections, or more rarely, manage to migrate and lie just under the skin.
Case presentation:
we present the case of a 27-year-old male patient who was treated during our mission in Namibia in 2018, who swallowed a fish bone, which initially lodged in the retropharyngeal space and then migrated to the cellular tissue. subcutaneous neck.
Discussion:
the mechanism by which a foreign body migrates may be due to the combination of peristalsis of the esophagus and movements of the neck or other factors such as the linear and sharp configuration of the foreign body, the forced swallowing of food with a hard consistency immediately after impaction of the foreign body and late attendance of the patient to health services.
Conclusions:
the migration of an ingested foreign body is a rare form of evolution. Its treatment fundamentally depends on potential complications that could put the patient's life at risk.
REFERENCES
García Medina NM, Cabrera Pérez A, Molina López A. Infrecuente evolución de cuerpo extraño en hipofaringe. Medicentro Electrónica. 2018; 22(4): 364-7.
Lee CH, Chen TH, Ko JY, Yeh TH, Hsu WC, Kang KT. Ear, nose, and throat foreign bodies in adults: A population-based study in Taiwan. J Formos Med Assoc. 2019; 118(9): 1290-8.
Amidah R, Eyzawiah H, Shahrul H, Mazlina S. Extraluminal Migration of Foreign Body in Pharynx: The End Journey of a Stingray - A Case Report. AJRS. 2021; 5(2): 9-13.
Koh WJ, Lum SG, Al Yahya SN, Shanmuganathan J. Extraluminal migration of ingested fish bone in the upper aerodigestive tract: A series of three cases with broad clinical spectrum of manifestations and outcomes. Int J Surg Case Rep. 2021; 89:106606-9.
Comoglu S, Enver N, Sen C, Aydemir L. Migration of a foreign object to the parapharyngeal space. An unusual factitous disorder. Braz J Otorhinolaryngol. 2020; 86(2): 261-3.
Ngui LX, Shashi G, Muhammad Nasri AB. Sawing Through The Neck - A Case of Serrated Fish Bone Migrating to Prevertebral Space. IMJM 2019; 18(1): 113-5.
Suharto W, Putra M, Jamtani I. Common Carotid-Esophageal Fistula following Migrated Fish Bone: A Rare Case report. New Ropanasuri J Surg [Internet]. 2018 [citado 20/4/2022]; 3(1). Disponible en: http://nrjs.ui.ac.id/index.php/journal/article/view/467. .
Amirian A, Ghoddusi Johari H, Karoobi M , Shahriarirad R , Ranjbar K. Internal Jugular Vein Injury by Fishbone Ingestion. Hindawi Case Reports in Medicine. 2020; 2020: 1-3.
Das SK, Das C, Chatterjee P, Sen S, Vasamsetty VD. Migratory Foreign Body Presenting with Thyroid Abscess. BJOHNS. 2021; 29(2): 200-3.
Nivatwongs S, Lumdabpong P. Thyroid abscess resulting from esophageal foreign body. RTA Med J. 2020; 73(4): 253-9.
Rivereo Jiménez SE, Narváez Almeida SC, Cabeza Machado E, Manzano Serrano M, Pérez Y. Tiroiditis a punto de partida de una perforación de esófago cervical por presencia de cuerpo extraño. Revista cubana de Otorrinolaringología y Cirugía de Cabeza y Cuello. 2021; 5(3): e265- e77.
Arafat AA, Taha AM, Elkhouly AG, Elgalad AA. Can a foreign body migrate against natural body barriers? Ann Pediatr Surg. 2017; 13(3): 157-9.
Ma J, Sun Y, Dai B, Wang H. Migration of an Ingested Fish Bone to the Submandibular Gland: A Case Report and Literature Review. Biomed Hub. 2019; 4(2): 1-4.
Ying Kho JP, Othman MN, Ramachandran K, Tang IP. Surgical removal of migrating extraluminal foreign body larynx. Acta Otolaryngologica Case Reports. 2016; 1(1): 130-2.
Hussain S, KK A, Mohammad A, Khan M. Migratory Foreign Bodies in the Aerodigestive Tract: The Importance of CT Imaging. Cureus. 2022; 14(1): e21595.
Sood A, Gupta V, Philip ST, Patnaik U, Dwivedi G, Kumar M. Migrating foreign body of oesophagus: an enigmatic presentation. Int J Otorhinolaryngol Head Neck Surg. 2019; 5(2): 507-10.