Abstract

A 4-year-old male child with a history of chronic cough over 6 months was admitted to ENT unit. He was diagnosed to have a foreign body oesophagus on X-ray chest, which he ingested 6 months ago. He had been treated for cough many times and the diagnosis was made after he under wentoesophagoscopy and bronchoscopy. CT showed an oesophageal foreign body eroding in to the trachea with tracheoesophageal fistula formation. The foreign body was removed via thoracotomy, a 6-hour surgery involving a thoracic surgeon, a paediatric surgeon and an ENT surgeon. The child had an uneventful recovery after 6 days in ICU.

Highlights

  • Foreign body impaction in the digestive tract can present in many ways

  • We report a casein which a child had a foreign body in the oesophagusfor over 6 months

  • A 4-year-old male child was brought by his parents to the ENT ward, Lady Ridgway Hospital for children with the complaint of a foreign body in a chest x-ray(incidental finding)

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Summary

Introduction

Foreign body impaction in the digestive tract can present in many ways. Still identification as a ‘foreign body impaction’ may be a challenge. The child was treated for a non-resolving cough for over 6 months He had been treated by many general practitioners with antibiotics, anti-histamines, steroids and bronchodilators but the cough continued. He was seen by an ENT surgeon and advised to take aChest x-ray, and was found to have a foreign body in the oesophagus. He was admitted and underwent a planned oesophagoscopy and bronchoscopy. The child recovered from anaesthesia and was subsequently admitted to the ICU He was ventilated with a tracheal tube passed beyond the perforated level of trachea.

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