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Updated: Jan 3, 2026
04:55
Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
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Sharp 3-Ended Metallic Foreign Body in an Infant Hypopharynx
Sharad Hernot1, Vijay Kalra1, Raman Wadhera1
1Department of Otorhinolaryngology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana 124001 India.
Summary
A 9-month-old infant experienced severe feeding and breathing issues due to a uniquely shaped metallic foreign body lodged in the hypopharynx. Successful retrieval via rigid hypopharyngoscopy resolved the critical symptoms.
Area of Science:
- Pediatric Otolaryngology
- Emergency Medicine
- Foreign Body Ingestion
Background:
- Foreign body ingestion in children often presents diagnostic challenges when embedded in pharyngeal soft tissues.
- Unusual foreign body shapes and dual-location impaction in the hypopharynx are rare occurrences.
Observation:
- A 9-month-old infant presented with vomiting, feeding refusal, and acute stridor.
- Physical examination revealed respiratory distress, including intercostal retractions and decreased air entry.
- Neck X-ray identified a metallic foreign body with three sharp ends in the hypopharynx.
Findings:
- The foreign body was lodged in two distinct areas of the hypopharynx.
- Penetration of the arytenoid cartilage by a sharp foreign body caused swelling and compromised the glottic opening, leading to stridor.
- Rigid hypopharyngoscopy successfully retrieved the foreign body.
Implications:
- This case highlights the importance of considering unusual foreign body presentations in pediatric airway emergencies.
- Prompt diagnosis and endoscopic intervention are crucial for managing life-threatening foreign body impactions in infants.
- Early recognition of pharyngeal foreign bodies prevents severe respiratory compromise and feeding difficulties.
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