Do foreign bodies migrate through the body towards the heart?

Mamede, Rui Celso Martins; Amaral, Fabiana do; Raimundo, Daniel Garcia; Freitas, Luiz Carlos Conti de; Ricz, Hilton Marcos Alves; Mello-Filho, Francisco Veríssimo

doi:10.1016/s1808-8694(15)30778-3

Cited by 7 publications

(7 citation statements)

References 20 publications

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“…13 In this case, initial CT performed immediately after initial admission showed a hematoma in the neck, and histology of the hematoma did not reveal signs of infection spreading laterally from the pharynx. 13 In this case, initial CT performed immediately after initial admission showed a hematoma in the neck, and histology of the hematoma did not reveal signs of infection spreading laterally from the pharynx.…”

Section: Discussionmentioning

confidence: 61%

An Uncommon Delayed Sequela After Pressure on the Neck

Dayapala

Samarasekera²,

Jayasena³

2012

American Journal of Forensic Medicine &Amp; Pathology

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Delayed sequelae after pressure on the neck are rare. Awareness of such sequelae as well as a high degree of suspicion is essential for early detection and proper clinical management. Injuries to the common carotid artery and pseudo aneurysm formation leading to fatal hemorrhage are still rare occurrences after attempts of manual strangulation. When such cases are presented to the forensic pathologist, he has to establish the link between the cause and effect, excluding other possible causes for such complications. In addition, he may have to give opinions in possible medical negligence charges.

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Section: Discussionmentioning

confidence: 61%

An Uncommon Delayed Sequela After Pressure on the Neck

Dayapala

Samarasekera²,

Jayasena³

2012

American Journal of Forensic Medicine &Amp; Pathology

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“…Unlike children, presentation in adults can range from asymptomatic to pneumonia, and may be tolerated as a non-specific respiratory problem, such as chronic cough, hemoptysis, dyspnea, or fever. [2][3][4][5][6][7][8][9][10][11][12] In our case, the patient had only dysphagia.…”

Section: Discussionmentioning

confidence: 89%

A Rare Case Report: Oropharyngeal Foreign Body in an Alzheimer Patient

Altindal¹

2018

Turkiye Klinikleri J Case Rep

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oreign bodies in the upper airways and pharynx are one of the most challenging otolaryngology emergencies. Foreign body aspiration is usually a serious condition that is most common among the pediatric age group, and rare in adults. 1,2 The etiology of foreign body aspiration is often peanuts, which may be radiopaque on X-ray. 3 Fish bone is the most common foreign body (FB) encountered in the pharynx. 4-7 Most Pharyngeal foreign bodies (PFBs) are removed in the outpatient department. Only a few patient may have lack of cooperation and need extracting FBs in the hospital under general anesthesia. In clinical practice, many PFBs in patients are dislodged spontaneously before presentation. However, many reports have been associated with complications of PFBs, such as infections of the pharyngeal wall, retropharyngeal abscess, migration of FB, and even death. 8-11 The majority of patients present with acute symptoms, like cough, dyspnea and hemoptysis, while others present with chronic symptoms. 2-12 Most patients have an underlying disease, such as mental retardation, abnormal swallowing reflex, or neurological problems. 13 In some adult patients, especially when Alzheimer disease is present, aspiration may be tolerated for a long time. Diagnosis must be established by means of symptoms, radiography, oropharyngeal examination and nasopharyngoscopy. Treatment is removal of the foreign body from the airway tract. 2 Oropharyngeal wet wipes are very rare causes of pharyngeal foreign bodies around the world.

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“…It allows the surgeon to locate the FB during an exploration of the neck. 6 X-ray is useful in detecting bone chips and metal FBs. It should be considered when flexible laryngoscope and CT scan are not available.…”

Section: Discussionmentioning

confidence: 99%

“…However, many reports have been associated with complications of PFBs, such as infections of the pharyngeal wall, retropharyngeal abscess, migration of FB, and even death. 6 – 9 …”

Section: Introductionmentioning

confidence: 99%

Related factors of outcomes of pharyngeal foreign bodies in children

Huang

Xie

et al. 2017

SAGE Open Medicine

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Objective:This study aimed to identify factors related to outcomes of the pharyngeal foreign bodies in children and to improve the management protocol of this disease.Methods:The medical records of 131 children with pharyngeal foreign bodies hospitalized in the hospital were retrospectively reviewed.Results:Significant differences were observed between the two groups (dislodgement and removal group) with respect to location of pharyngeal foreign bodies and age, while sex, time of pharyngeal foreign bodies, and nature of pharyngeal foreign bodies had no significant differences. Moreover, results suggested that location of pharyngeal foreign bodies and nature of pharyngeal foreign bodies were risk factors correlated with complications.Conclusion:Pharyngeal foreign body in children has a high rate of dislodgement (>50%). Foreign bodies in the oropharynx were more likely to dislodge compared with the foreign bodies in the laryngopharynx. Younger children were more likely to dislodge compared with older children. Although the risk of complications was very low, attention needs to be paid to the potential risks: local infection, deep abscess, and migration of foreign bodies. Because the possibility of complications caused by bone fragments and foreign bodies in the laryngopharynx increase obviously, hence, it is suggested to remove these kinds of foreign bodies as soon as possible to prevent complications.

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Do foreign bodies migrate through the body towards the heart?

Abstract: The study allows us to determine that FB can move through the body but not towards the heart. The study also serves as a warning sign: in cases of prolonged histories of FB ingestion, imaging studies are mandatory before endoscopic examination.

Cited by 7 publications

References 20 publications

An Uncommon Delayed Sequela After Pressure on the Neck

An Uncommon Delayed Sequela After Pressure on the Neck

A Rare Case Report: Oropharyngeal Foreign Body in an Alzheimer Patient

Related factors of outcomes of pharyngeal foreign bodies in children

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