A foreign body (a fish bone) in the esophagus translocating into soft tissues of the neck – a case report

Background: Patients with foreign bodies in upper digestive tract not infrequently trigger many diagnostic and treatment challenges, especially when foreign bodies translocate and are lodged outside the esophagus. Case report: We present a case of a foreign body in esophagus 56-years old woman who had developed persistent sensation of an obstacle in her throat after eating fish (Atlantic cod). She has initially dismissed her symptoms and refused medical treatment. Subsequently, a neck CT done one week later showed a 20-milimeter long fish bone in the soft tissues on the left side of her neck (between pharynx and vertebral column). Few attempts of endoscopic removal were unsuccessful. Despite antibiotic prophylaxis and due to the fish bone translocation into soft tissues of the neck and its location close to a common carotid artery and an internal jugular vein a decision was made to remove it from the external approach. The foreign body was successfully removed without any esophageal damages. Conclusions: Foreign bodies in digestive tract may result in many life-threatening complications. The fundamental management is based on the endoscopic removal of a foreign body and the antibiotic prophylaxis. In case of foreign bodies lodged in soft tissues open surgery is recommended. Key words: foreign body in the esophagus; fish bone; paraesophageal abscess ; treatment

AN UNEXPECTED PRESENTAION OF FOREGIN BODY IN LARYNX

Foreign body aspiration is very common in paediatric age group specially 6 months to 4 years of age, but it is relatively unusual entity amongst adult population unless predisposing factor like alcohol or drug intoxication or psychiatric illness. We are reporting an interesting case of foreign body (sewing needle) aspiration which penetrated through thyrohyoid membrane anteriorly by its blunt end and presented as a subcutaneous midline neck swelling associated with pain on swallowing. KEY WORDS: Foreign body, Larynx, Penetrating, Sewing Needle

Comparison of the pathogenicity of three species of coagulase-negative Staphylococcus in a mouse model with and without a foreign body

Staphylococcus schleiferi, Staphylococcus lugdunensis, and Staphylococcus epidermidis produce a high incidence of abscesses in a mouse model with an implanted foreign body. We investigated the significance of the foreign body in this process. Fourteen strains of S. schleiferi, S. epidermidis, and S. lugdunensis were tested in our model. A preadhered foreign body was implanted into one mouse group, followed by injection of a test strain. Another group received injection without implant. Abscesses were assessed at 7 days; foreign bodies and infected tissues were cultured. The percent of samples that developed abscesses or were culture positive was compared for each strain. Nearly all mice infected with S. schleiferi developed abscesses and were culture positive. The foreign body made no difference in abscess formation for three of four S. schleiferi but increased the incidence of both organism recovery and abscess for three of five S. epidermidis. The foreign body enhanced abscess formation for four of five S. lugdunensis, with all five strains yielding significantly more culture recovery. Although the pathogenicity of nine strains was increased by the foreign body, five strains yielded high abscess and culture recovery rates that were not enhanced by its presence. Key words: foreign body, Staphylococcus lugdunensis, Staphylococcus schleiferi.

A unique foreign body in bronchus: surgical challenge

Exogenous foreign bodies in tracheo bronchial tree are not uncommon, particularly in children. The gold standard principal of foreign body management is bronchoscopic removal and this procedure becomes difficult and challenging in cases of large and smooth foreign body as occur in our case. The present article reports a case of unique and large foreign body i.e. intact glass bulb in right main bronchus. Key words: Foreign body; Bronchus.DOI: http://dx.doi.org/10.3329/bjo.v17i2.8854 BJO 2011; 17(2): 132-134

Foreign Body Lung: A Case Report

Key words: Foreign body; collapse consolidation; bronchoscopyDOI: 10.3329/jcmcta.v21i2.7739 Journal of Chittagong Medical College Teachers' Association 2010: 21(2):47-49