A case of a migrating foreign body in the esophagus of a 65-year-old woman
https://doi.org/10.32412/pjohns.v40i.2697
- Author:
Miguel Limbert Q, Ramos
1
;
Emmanuel S. Samson
1
Author Information
1. Department of Otolaryngology Head and Neck Surgery, Bataan General Hospital and Medical Center, Balanga, Bataan, Region 03, Philippines;Department of Otolaryngology Head and Neck Surgery, Ospital Ng Maynila Medical Center, Philippines
- Publication Type:Case Reports
- MeSH:
Human;
Female;
Aged: 65-79 Yrs Old;
Esophagus;
Foreign Bodies;
Women
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2025;40(Supplement):29-32
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To report a case of a migrating foreign body in the esophagus of a 65-year-old woman: its clinical presentation, diagnosis and management
Methods:Design: Case Report
Setting:Tertiary Government Training Hospital
Patient: One
Results:A 65-year-old woman consulted with a history of foreign body ingestion (chicken bone). Initial imaging confirmed the presence of the ingested object. Rigid esophagoscopy did not find the foreign body. Subsequent neck computed tomography (CT) scan revealed a hyperdense, spindle-shaped object situated lateral to the left esophagus. The foreign object was successfully retrieved via a lateral pharyngotomy approach without complication.
Conclusion:Migrating foreign bodies may initially present with minimal or nonspecific symptoms such as foreign body sensation or dysphagia but can progress to more overt signs. In such cases, CT offers superior localization compared to radiographs and is essential in guiding definitive surgical management to facilitate safe and effective foreign body retrieval. Rigid esophagoscopy remains a valuable tool for confirming migration and evaluating for mucosal injury or perforation. When endoscopic retrieval is unsuccessful, timely surgical intervention is critical to prevent serious complications.
- Full text:2026060414013205426A case of a Migrating.pdf
