scholarly journals Cricoid Ossification Mimicking an Esophageal Foreign Body: A Victim of Overdiagnosis

2021 ◽  
Vol 4 (1) ◽  
pp. 77-80
Author(s):  
Rohit Bhardwaj ◽  
Isha Preet Tuli ◽  
Mohamed Shareef PK ◽  
Ankur Gupta ◽  
Saurabh Makkar
Keyword(s):  
Foreign Body ◽  
Ct Scan ◽  
Vertebral Body ◽  
Age Of Onset ◽  
Cricoid Cartilage ◽  
Fish Bone ◽  
Aerodigestive Tract ◽  
Body Sensation ◽  
Rigid Esophagoscopy ◽  
Unnecessary Procedures

Laryngeal cartilages undergo ossification, usually after the third decade of life. Variations exist in the extent and age of onset of ossification. Radiologically, these ossified cartilages may mimic an aerodigestive tract foreign body. We present an unusual case where the ossified cricoid cartilage masqueraded as a fish bone in the aerodigestive tract. A 48-year-old male patient presented to us with a foreign body sensation and throat pain after consuming fish. We found no fish bone on endoscopic laryngopharyngeal assessment but noted a linear opacity against the C-6 vertebral body in the aerodigestive tract on a lateral X-ray film of the neck. Rigid esophagoscopy also did not reveal any foreign object, but a computed tomography (CT) scan showed a linear hyperdensity in the wall of the aerodigestive tract, against the C-6 vertebral body, due to linear ossification in the midline of the cricoid lamina posteriorly. The patient’s symptoms improved within 1 week of anti-reflux medications, and he remains asymptomatic. It is possible to encounter such rare cases of cartilage ossification while dealing with foreign body aerodigestive tract in adult patients in clinical practice. Proper assessment using CT scan prevents unnecessary procedures and anxiety to the patient.

Foreign body in the tongue: an unusual site for a common problem

1991 ◽  
Vol 105 (10) ◽  
pp. 849-850 ◽  
Author(s):  
Kalpesh S. Patel
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Unusual Site ◽  
Rare Site ◽  
Frequent Problem

AbstractForeign bodies in the upper aerodigestive tract represent one of the commonest ENT emergencies. A case report of a fish bone penetrating the anterior tongue is presented which exemplifies this frequent problem. but at a rare site.

scholarly journals A Piercing Fish Bone Through Tracheal Wall

2018 ◽  
Vol 2 (1) ◽  
pp. 35 ◽  
Author(s):  
Adam Mohamad ◽  
Mohd Zaki Ahmad ◽  
Irfan Mohamad
Keyword(s):  
Foreign Body ◽  
Thyroid Gland ◽  
Health Sciences ◽  
Fish Bone ◽  
Neck Muscles ◽  
Foreign Body Sensation ◽  
Tracheal Wall ◽  
Rare Occurrence ◽  
Body Sensation

Fish bone ingestion is a common encounter in otorhinolaryngology setting. The patient usually present with foreign body sensation and odynophagia. Owing to its sharp end in nature, migration to the surrounding structures such as thyroid gland and neck muscles and have been reported. However the migration into the trachea is an extremely rare occurrence. We present a patient with fish bone ingestion which pierced into the trachea wall which was successfully removed via bronchoscopy.International Journal of Human and Health Sciences Vol. 02 No. 01 Jan’18. Page : 35-37

scholarly journals Migrating fish bone in neck

2019 ◽  
Vol 5 (4) ◽  
pp. 1104
Author(s):  
Siddharth A. Shroff ◽  
Mohammad Humaam Ansari ◽  
Naman Agarwal
Keyword(s):  
Foreign Body ◽  
Carotid Artery ◽  
Vascular Complications ◽  
Asian Population ◽  
Fish Bone ◽  
External Carotid Artery ◽  
External Carotid ◽  
Body Sensation ◽  
Ingested Foreign Body ◽  
Deep Neck Abscess

<p>Foreign body ingestion is very common in Asian population among which most common ingested foreign body is fish bone (FB). It usually presents with foreign body sensation, odynophagia or pricking sensation during deglutition. Usually diagnosis is achieved on basis of lateral radiograph of neck, videolaryngoscopy and oesophagoscopy. Sometimes FB migrates extraluminally and causes deep neck abscess, vascular complications including vascular esophageal fistula, puncture of carotid artery, thromboembolism, thyroid gland retention. Here we report a case where fish bone migrated extraluminally into neck piercing the carotid sheath and jarred between external carotid artery and internal carotid artery. Initial laryngoscopy and oesophagoscopy were both negative. Urgent Surgical exploration was planned due to severe pain and discomfort to patient and 4 cm fish bone was retrieved. Fish bone ingestion is the most common ingested foreign body encountered in otorhinolaryngology practice. Fish bones are most commonly impacted at base of tongue, palatine tonsil or vallecula. Sometimes fish bone extraluminally and causes various complications. Extraluminal migration of fish bone is very rare and very few cases have been reported and the only case reported from our region. </p>

scholarly journals Fish Bone Foreign Body: The Role of Imaging

2018 ◽  
Vol 23 (01) ◽  
pp. 110-115 ◽  
Author(s):  
Ayala Klein ◽  
Sharon Ovnat-Tamir ◽  
Tal Marom ◽  
Ofer Gluck ◽  
Naomi Rabinovics ◽  
...  
Keyword(s):  
Foreign Body ◽  
English Language ◽  
Case Reports ◽  
Fish Bone ◽  
Upper Aerodigestive Tract ◽  
Imaging Studies ◽  
Medical Subject Headings ◽  
Mesh Terms ◽  
Pubmed Database ◽  
Rigid Esophagoscopy

Introduction Fish bone foreign body (FFB) impaction in the upper aerodigestive tract is a common cause for emergency department referral. Its management varies in both diagnosis and treatment paradigms. Fish bone foreign bodies are more commonly found in the oropharynx in cases of patients < 40 years old, and in the esophagus in cases of patients > 40 years old. Symptoms are typically non-indicative for the location of the FFB, with the exception of foreign body sensation at/superior to the cervical esophagus. A lack of findings during the physical examination is routinely followed by imaging, with computed tomography (CT) being the preferred modality. In practice, many patients undergo unnecessary imaging studies, including CT scans. Objectives To identify patients with suspected fish bone impaction who do not require CT imaging and can be safely discharged. Data Synthesis We have searched the PubMed database for the following medical subject headings (MeSH) terms: fish bone, fish foreign body AND oropharynx, hypopharynx, esophagus, flexible esophagoscopy, and rigid esophagoscopy. Our search in the English language yielded 32 papers. Case reports were included, since they highlighted rare and serious complications. Conclusion In patients > 40 years old suspected of fish bone impaction, non-contrast CT is recommended and should be urgently performed, even in the presence of ambiguous symptoms. However, in patients < 40 years old presenting within 24 hours from ingestion, imaging has little diagnostic value due to the low probability of esophageal fish bones. For this specific subgroup, in the absence of clinical findings, discharge without imaging studies may be considered safe.

Fish Bone Foreign Body in a Zenker's Diverticulum: A Case Report

2017 ◽  
Vol 68 (3) ◽  
pp. 240-244
Author(s):  
Sumiyo Saburi ◽  
Yoichiro Sugiyama ◽  
Hideki Bando ◽  
Ryuichi Hirota ◽  
Yasuo Hisa ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Fish Bone ◽  
Zenker’S Diverticulum ◽  
Zenker's Diverticulum

CLINICAL AND PARACLINICAL CHARACTERISTICS AND RESULTS FROM TREATMENT OF FOREIGN BODIES INGESTION

2016 ◽  
pp. 63-69
Author(s):  
Hoang Cuong Vo ◽  
Thanh Dang ◽  
Phuong Nam Tran ◽  
Thanh Thai Le
Keyword(s):  
Foreign Body ◽  
Clinical Characteristics ◽  
Foreign Bodies ◽  
University Hospital ◽  
Age Group ◽  
Central Hospital ◽  
Results Of Treatment ◽  
Rigid Esophagoscopy ◽  
Flexible Esophagoscopy ◽  
Esophageal Foreign Bodies

Background: Foreign bodies ingestion is a emergency in otology, knowledge of people about foreign bodies ingestion is not enough. Objective: To study the clinical characteristics, paraclinical characteristics and results of treatment from foreign bodies ingestion in Hue Central Hospital and Hue University Hospital. Methods and patiens: A cross descriptive and prospective study over the period from 6/2014 to 5/2016, total are 137 patients come to be diagnosised and treatmented. Results: the average age is 35 years old. Gender: male (51.8%) and women (48.2%). Adults (84.7%) having more than children (15.3%). Age group from 16-30 years is highest (32.8%). There are 95.7% of organic foreign bodies, 4.3% are inorganic foreign bodies. There are 90.5% of patients on diagnosis and treatment in stages less inflammation, arthritis 8.0% in the period and 1.5% in the period complications. Foreign body in the throat problems (73.7%), esophageal foreign bodies (26.3%). Pick up directly foreign bodies 54%, indirectly by the mirror 11.7% and endoscopy 8%, rigid esophagoscopy is 17.5%, flexible esophagoscopy is 7.3%, cervicotomy is 1.5%. Conclusion: Practing direction with in the oropharynx foreign body, using the larynx mirror or endoscopy with in the laryngopharynx for the esophagus foreign bodies, rigid esophagoscopy is better. Key words: Foreign bodies ingestion

To evaluate the clinical efficacy of Palash Mula Arka in Pittaja Netrabhishyanda.

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Yuwaraj D. Kale ◽  
Sarika Choure
Keyword(s):  
Foreign Body ◽  
Modern Science ◽  
Signs And Symptoms ◽  
Burning Sensation ◽  
Trial Group ◽  
Inflammatory Condition ◽  
Conjunctival Hyperemia ◽  
Bacterial Conjunctivitis ◽  
Body Sensation ◽  
Acute Bacterial Conjunctivitis

Abhishyanda is one of the Sarvagata Vyadhi mentioned by Acharya Sushruta. In modern science, signs and symptoms of Netrabhishyanda may be correlated with conjunctivitis, which is the inflammatory condition of conjunctiva. Kavala Dharana, Dhumrapana, Aschyotana, Sechana Putapaka etc. are various suggested regimens in Ayurvedic texts for the treatment of Netrabhishyanda. Considering this effectiveness of Palasha as mentioned by Acharya Sushruta, it is planned to study the use of Palasha Mula Arka Aschyotana in Pittaja Netrabhishyanda. 60 patients having classical signs and symptoms of Pittaja Abhishyanda (Acute Bacterial Conjunctivitis) as per Ayurvedic and modern texts were selected for the study. After completion of therapy, mean Conjunctival hyperemia was reduced to 0.2167 ± 0.4086 in Control and 0.5667 ± 0.5040 in Trial Group. Palasha Mula Arka was found effective in reduction in conjunctival hyperemia, watering and the number of culture colonies, it was also found effective in burning sensation, discharge, foreign body sensation and photophobia.

scholarly journals Recurrent keratoconjunctivitis as the sole manifestation of COVID-19 infection: A case report

2021 ◽  
pp. 112067212110065
Author(s):  
Satria Audi Hutama ◽  
Firas Farisi Alkaff ◽  
Ryan Enast Intan ◽  
Citra Dewi Maharani ◽  
Luki Indriaswati ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Body Sensation ◽  
Polymerase Chain Reaction Test ◽  
Nasopharyngeal Swab ◽  
Conjunctival Hyperemia ◽  
Blurred Vision ◽  
Ocular Symptoms ◽  
Body Sensation ◽  
Fluorescence Test

Introduction: Ocular symptoms are uncommon manifestations of coronavirus disease 2019 (COVID-19) infection. Earlier study reported that dry eye, blurred vision, foreign body sensation, tearing, itching, conjunctival secretion, conjunctival congestion, ocular pain, and photophobia are among the ocular symptoms that could be found in COVID-19 patients. However, there are only a few reports available regarding corneal involvement in this disease. Here we report a case of keratoconjunctivitis as the only symptom of COVID-19 infection. Case description: A 27-year-old man who worked as an obstetrics and gynecology resident came to the outpatient clinic with the chief complaints of eye discomfort, foreign body sensation, conjunctival hyperemia, lacrimation, and photophobia in his right eye for the past 3 weeks. Fluorescence test showed a small corneal lesion. The patient was then diagnosed with keratoconjunctivitis. A week after the treatment, all symptoms were resolved. A month later, the patient came to the emergency room with the same eye complaints but with a more severe pain. The fluorescence test showed wider corneal lesion compared to last month. The result from the corneal swab is negative for bacterial or fungal infection, indicating a viral infection. Afterwards, reverse transcriptase polymerase chain reaction test from nasopharyngeal swab was performed and revealed that the patient was positive for COVID-19. Conclusions: This case report showed that keratoconjunctivitis may occur as the only manifestation of COVID-19 infection. Thus, patient presented with unexplainable eye symptoms should be evaluated for COVID-19 infection.

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