Late presentation of esophageal foreign body impaction, remaining from a car accident 40 years earlier: A case report
1 Department of Thoracic and General Surgery, Guilan University of Medical Sciences, Rasht, Iran.
2 Aria Hospital, Guilan University of Medical Sciences, Rasht, Iran.
3 Department of Internal Medicine, Inflammatory Lung Diseases Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
4 Gastroenterologist Hepatologist, GI Cancer Screening and Prevention Research Center (GCSPRC), Guilan University of Medical Sciences, Rasht, Iran.
5 Retired Radiologist, Guilan University of Medical Sciences, Rasht, Iran.
Case Study
GSC Advanced Research and Reviews, 2023, 14(02), 184–190.
Article DOI: 10.30574/gscarr.2023.14.2.0054
Publication history:
Received on 28 December 2022; revised on 18 February 2023; accepted on 21 February 2023
Abstract:
Background: The foreign body impaction (FBI) is an emergent medical condition caused by any object, material, or food trapped in the upper gastrointestinal tract, most commonly caused by swallowing, iatrogenic, or penetrating trauma. The cases reported in the literature are acute, commonly presenting within few days after the accident. As far as we are concerned, such a late presentation of an esophageal FBI has not been reported to date.
Case Presentation: In this case report, we present a 67-year old male patient who was referred with severe dysphagia, recurrent fistula with sepsis, weight loss, malnutrition, and pulmonary aspiration. The history revealed a car accident 40 years ago with a penetrating wound in the neck. Rigid esophagoscopy was not possible, and the tip of car gear (3×4 cm) could be successfully removed by open surgical procedure with neck exploration.
Conclusions: This case refers to the necessity of paying greater attention to the possible foreign bodies, which can remain from any accident, in order to prevent its complications caused by late diagnosis.
Keywords:
Foreign bodies; Esophagus; Esophagoscopy; Esophageal diseases; Case Reports
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
