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Complicated hypopharyngeal perforation caused by a foreign body
Karol Canji1, Slobodan M Mitrović, Ljiljana Jovancević
1Klinicka za bolesti uva, grla i nosa. canjka@EUnet.yu
Medicinski Pregled
|November 10, 2007
Summary
A patient with a hypopharyngeal foreign body, initially refusing care, developed a neck abscess. Prompt diagnosis and surgical drainage with antibiotics led to recovery, highlighting the need for urgent intervention.
Area of Science:
- Otolaryngology
- Gastroenterology
- Emergency Medicine
Background:
- Foreign bodies in the hypopharynx and esophagus are medical emergencies.
- Delayed diagnosis and treatment can lead to severe complications.
Observation:
- A patient presented with fever, neck pain, and swelling 48 hours after ingesting a bone fragment.
- Initial recommendation for esophagoscopy was refused.
Findings:
- Computed tomography revealed a hypopharyngeal foreign body with a neck abscess (pus collection) and subcutaneous edema.
- Surgical incision, drainage, nasogastric tube placement, and antibacterial therapy were administered.
Implications:
- Foreign body ingestion in the hypopharynx necessitates immediate medical attention.
- Effective management involves accurate diagnosis, appropriate surgical intervention, and intensive antibiotic treatment for favorable outcomes.
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