Pseudocyst of the auricle typically presents as a painless unilateral swelling of the auricle in young adult males. Treatment options are varied. Excision of the anterior cartilage with compression buttoning yielded excellent results with no recurrence.
On the following day, the patient still complained of pain at the thyroid cartilage level. Repeat lateral neck radiography showed the same linear opacity. The possibility of a foreign body embedded in the hypopharyngeal mucosa could not be excluded. A computed tomography (CT) scan ofthe hypopharynx demonstrated a densely calcified ridge on the posterior lamina ofthe cricoid cartilage (Fig 2). No foreign body was shown on the cr scan.The patient was observed in the ward. He was able to eat normally. There was no symptom or sign suggestive of infection due to perforation of the digestive tract by any ingested foreign body. The
CASE REPORTA 50-year-old man complained of severe throat pain at the level ofhis thyroid cartilage after swallowing a fish bone during his lunch on the same day. Clinical examination did not reveal any foreign body in his oropharynx or hypopharynx. Palpation of his larynx did not cause any tenderness. Radiography of his neck in the lateral view revealed a linear opacity posterior to the calcified cricoid cartilage. This linear opacity was not continuous with the cricoid cartilage calcification (Fig 1). It was determined that the patient had an impacted foreign body at the level of his cricopharyngeal sphincter. He was admitted for rigid esophagoscopy under general anesthesia to remove the ingested foreign body. At esophagoscopy, no Fig 1. Plain lateral neck radiograph showing calcified fi · bod fi d d all · ridge on cricoid posterior lamina appearing as linear oreigny was OUD an no mucos esion was opacity (wide arrow) separated from rest of cricoid calcifiseen. The procedure was terminated and the patient cation (narrow arrow). This linear opacity mimics inwas returned to the ward for observation. gested foreign body impacted at cricopharyngeus.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.