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Multiple foreign bodies (fish bones) in the esophagus and rectum
I Ichimiya1, T Fujiyoshi, Y Kurono
1Department of Otolaryngology, Medical College of Oita, Japan.
Auris, Nasus, Larynx
|January 1, 1988
Summary
A 64-year-old man presented with fish bones in his esophagus and rectum. Successful removal of both foreign bodies and abscess drainage resolved his symptoms, highlighting rare multiple digestive tract foreign body cases.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
- Infectious Disease
Background:
- Foreign bodies in the digestive tract are common, but multiple, distinct locations like the esophagus and rectum are rare.
- Ingestion of sharp objects, such as fish bones, can lead to severe pain, dysphagia, and potential complications like abscess formation.
Observation:
- A 64-year-old male presented with severe odynophagia after consuming fried fish.
- Initial esophagoscopy revealed and removed an esophageal fish bone, but persistent fever and leukocytosis suggested a deeper issue.
- Subsequent rectal examination identified a second fish bone and a periproctal abscess, leading to further intervention.
Findings:
- Successful endoscopic removal of an esophageal fish bone was achieved.
- A second fish bone in the rectum and a periproctal abscess were diagnosed via sigmoidoscopy.
- Combined surgical drainage of the abscess and removal of the rectal foreign body led to resolution of systemic inflammatory signs.
Implications:
- This case underscores the importance of a thorough diagnostic workup for persistent symptoms after foreign body removal.
- It highlights the potential for multiple, non-contiguous foreign body impactions in the gastrointestinal tract.
- Early recognition and management of associated complications, such as periproctal abscess, are crucial for patient recovery.