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Not just another sore throat: Extraluminal migration of foreign body from the hypopharynx-a case report

Al Omar M Salting1

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, University of the East Ramon Magsaysay Memorial Medical Center, Inc. (UERMMMCI), Quezon City, Philippines.

SAGE Open Medical Case Reports
|October 18, 2018
PubMed

Insights

A sharp needle pin lodged in the throat migrated through the neck wall, posing a life-threatening risk. This case highlights the importance of thorough examination for unusual presentations of common symptoms like sore throat.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Medical Imaging

Background:

  • Sore throat can indicate serious underlying conditions, including foreign body ingestion.
  • Ingested foreign bodies, especially sharp objects, pose a risk of mucosal perforation and extraluminal migration.
  • Prompt diagnosis and management are crucial to prevent life-threatening complications.

Observation:

  • A patient presented with a 3-week history of sore throat.
  • Diagnostic work-up revealed a sharp metallic foreign body (needle pin) in the hypopharynx.
  • Endoscopy showed no definitive entry point, complicating localization.

Findings:

  • The needle pin had migrated extraluminally through the posterior pharyngeal wall.
  • Intraoperative C-arm imaging precisely located the foreign body 0.5 cm deep to the right lateral posterior pharyngeal wall at the C4 level.
  • The metallic foreign body was successfully extracted.

Implications:

  • This case underscores the potential for subtle presentations of severe pathology.
  • Thorough patient history and physical examination are paramount in diagnosing unusual foreign body migrations.
  • Advanced imaging techniques are vital for locating deeply migrated foreign bodies when endoscopy is inconclusive.
Keywords:
Otolaryngologysurgery

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