Images in clinical medicine | Volume 38, Article 319, 30 Mar 2021 | 10.11604/pamj.2021.38.319.28312

Foreign bodies logded in the hypopharynx

Miguel Carvalho, Rui Vieira

Corresponding author: Miguel Carvalho, Otolaryngology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal

Received: 09 Feb 2021 - Accepted: 17 Feb 2021 - Published: 30 Mar 2021

Domain: Otolaryngology (ENT)

Keywords: thu,mbtacks, pyriform sinus, valeculae

©Miguel Carvalho et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Miguel Carvalho et al. Foreign bodies logded in the hypopharynx. Pan African Medical Journal. 2021;38:319. [doi: 10.11604/pamj.2021.38.319.28312]

Available online at: https://www.panafrican-med-journal.com/content/article/38/319/full

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Images in clinical medicine

Foreign bodies logded in the hypopharynx

Foreign bodies logded in the hypopharynx

Miguel Carvalho1,&, Rui Vieira2

 

1Otolaryngology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal, 2Anestesiology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal

 

 

&Corresponding author
Miguel Carvalho, Otolaryngology Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal

 

 

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We present the case of a 21-year-old female, with a history of bipolar disease, observed at the emergency department of our institution for voluntary ingestion of two foreign bodies. She complained of localized neck pain, dysphagia and odynophagia that started 2 hours before observation. Initial evaluation identified two thumbtacks lodged in the left pyriform sinus and valeculae. Despite swift preparation for removal of the foreign bodies under sedation, progression on the digestive tube occurred. One thumbtack was removed by endoscopic techniques from the gastric fundus. The other was expelled naturally in an uncomplicated fashion at day 8.

 

 

Figure 1: A) lateral neck x-ray; two foreign bodies are identified (thumbtacks); B) fibroscopic evaluation; C) progression of the thumbtack not removed endoscopically (day 2, 5 and 7 respectively) (E: epiglotis; LPS: left pyriform sinus; T: trachea; V: valeculae)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Foreign bodies logded in the hypopharynx

Images in clinical medicine

Foreign bodies logded in the hypopharynx

Images in clinical medicine

Foreign bodies logded in the hypopharynx

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Key words

Thu

Mbtacks

Pyriform sinus

Valeculae

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