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Perforating and migrating pharyngoesophageal foreign bodies: a series of 5 patients

Khalid Al-Sebeih1, Miloslav Valvoda, Amro Sobeih

  • 1Division of Otolaryngology, Department of Surgery, Faculty of Medicine, Kuwait University, PO Box 17228, Khalidiya 72453, Kuwait. kalseb@qualitynet.net

Ear, Nose, & Throat Journal
|October 19, 2006
PubMed

Insights

Foreign body ingestion can cause rare but serious complications like penetration. Computed tomography (CT) is crucial for diagnosing penetrating foreign bodies when endoscopy is negative, enabling external extraction.

Area of Science:

  • Otolaryngology
  • Radiology
  • Gastroenterology

Background:

  • Foreign body ingestion is a common otolaryngologic issue.
  • Penetration and migration are rare but severe complications.
  • These complications can lead to significant morbidity and mortality.

Observation:

  • A retrospective review of 5 patients with complete foreign-body penetration was conducted.
  • Radiologic evidence confirmed the presence of foreign bodies in all patients.
  • Rigid endoscopy yielded negative findings in all cases.

Findings:

  • Computed tomography (CT) is the preferred imaging modality for identifying penetrating foreign bodies.
  • External approaches were successfully used to extract foreign bodies in all 5 patients.

Implications:

  • CT imaging is vital for diagnosing penetrating foreign bodies missed by endoscopy.
  • External extraction is a viable method for managing such cases.
  • Early and accurate diagnosis can prevent severe complications from foreign body penetration.

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