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Foreign body esophagus: Six years of silence

Foreign body esophagus remains one of the common medical emergencies which may lead to significant morbidity and mortality. Sharp objects, batteries, and elderly with foreign body esophagus should be treated with emergent removal owing to the complications that might ensue. Endoscopic removal is the...

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Autores principales: Shahi, Sudha, Bhandari, Tika Ram, Thapa, Prakash Bahadur, Shrestha, Deependra, Shrestha, Kiran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7378705/
https://www.ncbi.nlm.nih.gov/pubmed/32754336
http://dx.doi.org/10.1177/2050313X20944322
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author Shahi, Sudha
Bhandari, Tika Ram
Thapa, Prakash Bahadur
Shrestha, Deependra
Shrestha, Kiran
author_facet Shahi, Sudha
Bhandari, Tika Ram
Thapa, Prakash Bahadur
Shrestha, Deependra
Shrestha, Kiran
author_sort Shahi, Sudha
collection PubMed
description Foreign body esophagus remains one of the common medical emergencies which may lead to significant morbidity and mortality. Sharp objects, batteries, and elderly with foreign body esophagus should be treated with emergent removal owing to the complications that might ensue. Endoscopic removal is the preferred choice of treatment but for large foreign body, sharp foreign body, and so on, rigid esophagoscopic removal might be more preferable. Foreign body esophagus though an obvious situation might at times be missed. It is important to make an early definitive diagnosis. We report a unique case of missed foreign body (denture) esophagus despite the obvious signs and symptoms. Definitive diagnosis was made only after 6 years due to the lack of definitive diagnostic procedures and expertise. The foreign body was impacted in the mucosal wall of the esophagus requiring Gastric resection and anastomosis (with McKeown procedure). With this we have tried to highlight the pitfalls in the diagnosis and management of foreign body esophagus. We report a case of a 55-year-old female who presented to the Emergency Room with history of progressive dysphagia and odynophagia for 6 years which was aggravated for the past 6 months. A radiological diagnosis was made. It was followed by a failed attempt of endoscopic removal which warranted the surgical removal of the foreign body.
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spelling pubmed-73787052020-08-03 Foreign body esophagus: Six years of silence Shahi, Sudha Bhandari, Tika Ram Thapa, Prakash Bahadur Shrestha, Deependra Shrestha, Kiran SAGE Open Med Case Rep Case Report Foreign body esophagus remains one of the common medical emergencies which may lead to significant morbidity and mortality. Sharp objects, batteries, and elderly with foreign body esophagus should be treated with emergent removal owing to the complications that might ensue. Endoscopic removal is the preferred choice of treatment but for large foreign body, sharp foreign body, and so on, rigid esophagoscopic removal might be more preferable. Foreign body esophagus though an obvious situation might at times be missed. It is important to make an early definitive diagnosis. We report a unique case of missed foreign body (denture) esophagus despite the obvious signs and symptoms. Definitive diagnosis was made only after 6 years due to the lack of definitive diagnostic procedures and expertise. The foreign body was impacted in the mucosal wall of the esophagus requiring Gastric resection and anastomosis (with McKeown procedure). With this we have tried to highlight the pitfalls in the diagnosis and management of foreign body esophagus. We report a case of a 55-year-old female who presented to the Emergency Room with history of progressive dysphagia and odynophagia for 6 years which was aggravated for the past 6 months. A radiological diagnosis was made. It was followed by a failed attempt of endoscopic removal which warranted the surgical removal of the foreign body. SAGE Publications 2020-07-22 /pmc/articles/PMC7378705/ /pubmed/32754336 http://dx.doi.org/10.1177/2050313X20944322 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Shahi, Sudha
Bhandari, Tika Ram
Thapa, Prakash Bahadur
Shrestha, Deependra
Shrestha, Kiran
Foreign body esophagus: Six years of silence
title Foreign body esophagus: Six years of silence
title_full Foreign body esophagus: Six years of silence
title_fullStr Foreign body esophagus: Six years of silence
title_full_unstemmed Foreign body esophagus: Six years of silence
title_short Foreign body esophagus: Six years of silence
title_sort foreign body esophagus: six years of silence
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7378705/
https://www.ncbi.nlm.nih.gov/pubmed/32754336
http://dx.doi.org/10.1177/2050313X20944322
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