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Unusual Intraspinal Migration of Ingested Foreign Body
Dilip Kumar Macharla1, Raghavendra Harpanahalli1, Manas Panigrahi1
1Department of Neurosurgery, Krishna Institute of Medical Sciences, Hyderabad, India.
World Neurosurgery
|September 30, 2018
Summary
A rare case of ingested foreign body migration into the spinal canal is presented. A copper wire traveled through the C5 vertebral body, highlighting unusual extraluminal migration pathways.
Area of Science:
- Medical Case Reports
- Spinal Surgery
- Radiology
Background:
- Foreign body ingestion is common, but extraluminal migration is rare.
- This report details an unusual case of ingested foreign body migration into the spinal canal.
Observation:
- A 38-year-old male presented with throat pain after ingesting chicken fried rice.
- Esophagoscopy revealed no abnormalities, but cervical spine imaging identified a radiopaque foreign body within the C5 vertebral body, extending into the spinal canal.
Findings:
- Surgical exploration successfully removed a 3-cm copper wire from the patient's neck.
- The foreign body's trajectory through the vertebral body into the spinal canal was confirmed via computed tomography (CT).
Implications:
- Foreign body characteristics (type, size, shape) influence migration patterns.
- The Hahn canal and basivertebral foramina are potential pathways for spinal canal foreign body migration.
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