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A laryngeal foreign body resembling cervical emphysema
Hironobu Nishiori1, Takayuki Tohma2, Hisanori Fujita1
1Division of Cardiovascular Surgery Chiba Emergency Medical Center Chiba Japan.
Clinical Case Reports
|August 8, 2022
Summary
A rare case of a grilled liver lodged in the larynx caused chest discomfort. Patient history, particularly diet, is crucial for diagnosing laryngeal foreign bodies.
Area of Science:
- Otolaryngology
- Emergency Medicine
- Radiology
Background:
- A foreign body in the larynx can present with atypical symptoms, mimicking other conditions.
- Computed tomography (CT) scans are often used for initial imaging in cases of suspected cervical pathology.
Observation:
- An 81-year-old female presented with chest discomfort, initially suspected as cervical emphysema on CT.
- Direct visualization revealed a foreign object obstructing the larynx: a piece of grilled liver.
- The unusual nature of the foreign body prompted a detailed dietary history review.
Findings:
- The CT findings were misleading, highlighting the limitations of imaging in identifying certain types of foreign bodies.
- A laryngeal foreign body, specifically a food item, was the definitive diagnosis.
- Detailed patient history, including dietary habits, was instrumental in reaching the correct diagnosis.
Implications:
- This case underscores the importance of considering a broad differential diagnosis for chest discomfort, even when imaging suggests otherwise.
- Clinicians must integrate thorough patient history, especially dietary history, into the diagnostic process for suspected laryngeal foreign bodies.
- Recognizing unusual foreign bodies can prevent diagnostic delays and ensure appropriate management, improving patient outcomes.
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