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Accidental cell phone ingestion with pharyngeal impaction
Delaware Medical Journal
|February 5, 2015
Summary
Foreign body ingestion, such as a cell phone, is a risk for intoxicated adults. Prompt endoscopic removal is crucial to prevent life-threatening complications from upper aerodigestive tract impaction.
Area of Science:
- Otolaryngology
- Gastroenterology
- Emergency Medicine
Background:
- Foreign body ingestion is a significant concern, particularly in adults with substance abuse issues.
- Unusual and large foreign objects pose unique challenges for diagnosis and treatment.
- Hypopharyngeal impaction of foreign bodies can lead to severe complications.
Observation:
- A case of a 35-year-old intoxicated male presenting after ingesting an entire cell phone with casing.
- The foreign body was noted to be impacted in the hypopharynx.
- Plain film x-ray of the neck was utilized for assessment.
Findings:
- Accidental ingestion of an entire cell phone is a rare event.
- Hypopharyngeal impaction of a large foreign body necessitates urgent intervention.
- Potential complications include abscess, mediastinitis, and aortoesophageal fistula.
Implications:
- Early diagnosis and endoscopic removal under general anesthesia are critical for foreign bodies impacted in the upper aerodigestive tract.
- Radiographic imaging aids in locating radiopaque foreign objects and identifying complications.
- Management strategies must consider the object's type, location, and perforation potential.
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