Foreign Body Ingestion - A Case of a Tablespoon in the Oesophagus of a 48-Year-old Man

Emmanuel O. Egbunu

Lonia Clinic and Maternity, Warri, Nigeria.

Chukwuka Elendu *

Federal Medical Center, Owerri, Nigeria.

Arinze F. Chukwuonye

Lonia Clinic and Maternity, Warri, Nigeria.

Oghenemaro Okine

Lonia Clinic and Maternity, Warri, Nigeria.

Denis Okine

Lonia Clinic and Maternity, Warri, Nigeria.

Opeyemi P. Amosu

Faculty of Clinical Sciences, College of Health Sciences, University of Ilorin, Nigeria.

Oluwatobi O. Ogunlade

Lagos University Teaching Hospital, Idi-Araba, Nigeria.

*Author to whom correspondence should be addressed.


Abstract

Foreign body in the esophagus is a common emergency presentation. A thorough history and systematic examination are followed by relevant investigations in the treatment of a patient with a foreign body in the esophagus.  However, there is considerable disagreement about which treatment option is best for such patients. This review aims to develop a comprehensive approach towards patients presenting with foreign body ingestion by creating clinical practice guidelines. These guidelines, which are based on a review of the literature, cover not only the initial assessment of the patient but also the various management options and their benefits, limitations, and suitability for use in different situations.

Keywords: Foreign bodies, esophagus, review literature, endoscopy, observation


How to Cite

Egbunu , E. O., Elendu , C., Chukwuonye , A. F., Okine , O., Okine , D., P. Amosu , O., & Ogunlade , O. O. (2023). Foreign Body Ingestion - A Case of a Tablespoon in the Oesophagus of a 48-Year-old Man. International Journal of Medical and Pharmaceutical Case Reports, 16(2), 1–6. https://doi.org/10.9734/ijmpcr/2023/v16i2327

Downloads

Download data is not yet available.

References

Anderson KL, Dean AJ. Foreign bodies in the gastrointestinal tract and anorectal emergencies. Emerg Med Clin North Am. 2011;29(2):369-400, ix. DOI: 10.1016/j.emc.2011.01.009

Al Lawati TT, Al Marhoobi RM. Timing of Button Battery Removal From the Upper Gastrointestinal System in Children. Pediatr Emerg Care. 2021;37(8):e461-e463. DOI: 10.1097/PEC.0000000000001697.

Zhang XR, Li Q. [A case of magnetic pharyngeal foreign body in children]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. Chinese. 2018;32(18): 1432-1433. DOI: 10.13201/j.issn.1001-1781.2018.18.017

Malik SA, Qureshi IA, Muhammad R. Diagnostic Accuracy Of Plain X-Ray Lateral Neck In The Diagnosis Of Cervical Esophageal Foreign Bodies Keeping Oesophagoscopy As Gold Standard. Available:https://pubmed.ncbi.nlm.nih.gov/30465371/

Brady PG. Esophageal foreign bodies. Gastroenterol Clin North Am. 1991; 20(4):691-701. Available:https://pubmed.ncbi.nlm.nih.gov/1787010/

Sugawa C, Ono H, Taleb M, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review. World J Gastrointest Endosc. 2014;6(10):475-81. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198392/

Birk M, Bauerfeind P, Deprez PH, Häfner M, Hartmann D, Hassan C, Hucl T, Lesur G, Aabakken L, Meining A. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016;48(5): 489-96. DOI: 10.1055/s-0042-100456

Yang T-W, Yu Y-C, Lin Y-Y, Hsu S-C, Chu KC-W, Hsu C-W, Bai C-H, Chang C-K, Hsu Y-P. Diagnostic Performance of Conventional X-ray for Detecting Foreign Bodies in the Upper Digestive Tract: A Systematic Review and Diagnostic Meta-Analysis. Diagnostics. 2021;11(5):790. Available:doi.org/10.3390/diagnostics11050790

Kumar S, Yu C, Toppi J, et al. The utility of diagnostic imaging in fish bone impaction. Open J. Radiol. 2018;8:45–52. DOI: 10.4236/ojrad.2018.81006.

Park S, Choi D.S, Shin H.S, et al. Fish bone foreign bodies in the pharynx and upper esophagus: Evaluation with 64-slice MDCT. Acta Radiol. 2014;55:8–13. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331292/

Luo CM, Lee YC. Diagnostic Accuracy of Lateral Neck Radiography for Esophageal Foreign Bodies in Adults. AJR Am J Roentgenol. 2020;215(2):465-471. DOI: 10.2214/AJR.19.21870. Epub 2020 May 14. Erratum in: AJR Am J Roentgenol. 2020;215(6):1551. Erratum in: AJR Am J Roentgenol;2021. ;216(1):271. Available:https://pubmed.ncbi.nlm.nih.gov/32406772/

Ambe P, et al. Swallowed Foreign Bodies in Adults. Deutsches Ärzteblatt international; 2012. DOI: 10.3238/arztebl.2012.0869

Willacy D. Swallowed foreign bodies (Causes, Symptoms and Treatment), Patient.info; 2021. Available:https://patient.info/doctor/swallowed-foreign-bodies (Accessed: 23 February 2023).

Pediatric Foreign Body Ingestion Treatment & Management: Prehospital Care, Emergency Department Care, Consultations; 2023. Available:https://emedicine.medscape.com/article/801821-treatment?icd= login_success_email_match_norm#d10 (Accessed: 23 February 2023).

Dörterler M, Günendi T. <p>Foreign Body and Caustic Substance Ingestion in Childhood</p>. Open Access Emergency Medicine. 2020;12:341-352. DOI: 10.2147/oaem.s241190.

Weiland ST, Schurr MJ. Conservative management of ingested foreign bodies. J Gastrointest Surg. 2002;6(3):496-500. DOI: 10.1016/s1091-255x(01)00027-0. PMID: 12023005.

Wu W, et al. An analysis of foreign body ingestion treatment below the pylorus in children. Medicine. 2017;96(38):e8095. DOI: 10.1097/md.0000000000008095.

Husain R, et al. Conservative management of fish bone-induced large bowel perforation: Case report. International Journal of Surgery Case Reports. 2022; 95:107157. DOI: 10.1016/j.ijscr.2022.107157

Bezabih Y, Getu M. Spontaneous passage of accidentally ingested metallic nail in an adult: A case report. International Journal of Surgery Case Reports. 2022; 92:106865. DOI: 10.1016/j.ijscr.2022.106865

Yoo D, et al. Clinical outcomes of endoscopic removal of foreign bodies from the upper gastrointestinal tract", BMC Gastroenterology. 2021;21(1). DOI: 10.1186/s12876-021-01959-3.

Kamiya K, et al. Endoscopic removal of foreign bodies: A retrospective study in Japan. World Journal of Gastrointestinal Endoscopy. 2020;12(1): 33-41. DOI: 10.4253/wjge.v12.i1.33

Chinelo OV, Chukwuka E, Ifeoma AC, et al. Causes of Anemia Due to Diminished Red Blood Cell Production in Pediatrics. International Journal of Scientific Advances (IJSCIA), 2022;3(5): 711-718. DOI: 10.51542/ijscia.v3i5.6

Becq A, Camus M, Dra X. Foreign body ingestion: dos and don’ts. Frontline Gastroenterology, 12(7), pp. 664-670. DOI: 10.1136/flgastro-2020-101450.

Skok P, Skok K. Urgent endoscopy in patients with “true foreign bodies” in the upper gastrointestinal tract – a retrospective study of the period 1994–2018. Zeitschrift für Gastroenterologi. 2020;58(03):217-223. DOI: 10.1055/a-1062-9011.

AL Hosein, M, Eghtedari A. Small Intestine Perforation due to Foreign Body: Case Report. Dubai Medical Journal. 2023; 1-4. DOI: 10.1159/000528620

Mejri A et al. Gastrointestinal perforations by ingested foreign bodies: A preoperative diagnostic flowchart-based experience. A case series report. International Journal of Surgery Case Reports. 2022;95: 107216. DOI: 10.1016/j.ijscr.2022.107216.

Shrestha N et al. Ileal perforation secondary to bowel obstruction caused by foreign body bezoar: A case report. Annals of Medicine and Surgery. 2022;82: 104564. DOI: 10.1016/j.amsu.2022.104564