Abstract
Foreign body (FB) ingestion is a common problem in children. Prolonged impaction of FB in esophagus may result in tracheoesophageal fistula (TEF). A 6-year-old girl presented with progressive dysphagia and recurrent chest infections. No history of FB ingestion was given by parents. Further investigations revealed FB (spool) in cervical esophagus. Patient was successfully managed by surgery through trans-cervical approach.
Highlights
Foreign body (FB) ingestion is a common problem in children
The presentation of FBs depends on shape, nature, and size as well as site and duration of impaction
Hashim et al, Ingested Metallic Spool are smooth may pass into intestine without any symptoms while sharp or irregular shape FBs may cause complications such as tracheoesophageal fistula (TEF), esophageal perforation, aortoesophageal fistula etc. [1-6]
Summary
Foreign body (FB) ingestion is a common problem in children. Prolonged impaction of FB in esophagus may result in tracheoesophageal fistula (TEF). A 6-year-old girl presented to the pediatric ENT department with fever, cough and respiratory distress for 5 months. On chest X-ray a metallic foreign body was found (Fig. 1). There was a visible foreign body with two prongs at the level of upper trachea. An impacted old metallic foreign body at cervical esophagus level with lot of granulation tissue and edema was found.
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