Two Cases of Extraluminal Foreign Body in the Hypopharynx and Cervical Esophagus

• Hidaka Hiroshi

  Department of Otolaryngology, Iwaki Kyoritsu-General Hospital Department of Otolaryngology-HNS, Tohoku University School of Medicine

• Nishikawa Hitoshi

  Department of Otolaryngology, Iwaki Kyoritsu-General Hospital

• Ishida Eiichi

  Department of Otolaryngology, Iwaki Kyoritsu-General Hospital

• Ozawa Daiki

  Department of Otolaryngology, Iwaki Kyoritsu-General Hospital

• Kaku Kankou

  Department of Otolaryngology, Iwaki Kyoritsu-General Hospital

Bibliographic Information

Other Title

• 下咽頭・頸部食道腔外異物の２症例
• 症例 下咽頭・頸部食道腔外異物の2症例
• ショウレイ カイントウ ケイブ ショクドウ コウガイ イブツ ノ 2 ショウレイ

Abstract

Although foreign bodies in the pharynx and the esophagus are commonly encountered, only a small percentage of those found intra- or extraluminally will penetrate the pharyngeal or esophageal wall. We report two cases involving extraluminal fish bone. The first case is an 82-year-old Japanese female who presented with painful dysphagia after swallowing a fish bone. Though CT showed a foreign body in the neck, neither fiberscopy nor esophagoscopy revealed it. We approached the foreign body using a collar neck incision and extracted a fish bone embedded in layers of the inferior constrictor. The second case is a 62-year-old Japanese female who presented with painful dysphagia. Three-dimensional CT images (3D-CT) clearly demonstrated a fish bone which had migrated into the left thyroid gland, but esophagoscopy did not reveal any mucosal perforation. When a left thyroid lobectomy of the patient's adenomatous goiter was carried out, the fish bone was found to be embedded in the gland surrounded by an area of inflammation. Such migration of a fish bone into the thyroid gland is quite rare. A review of the relevant literature is presented.

Journal

• Nihon Kikan Shokudoka Gakkai Kaiho

  Nihon Kikan Shokudoka Gakkai Kaiho 59 (6), 556-562, 2008

  The Japan Broncho-esophagological Society

Keywords

• fish bone
• hypopharynx and cervical esophagus
• extraluminal foreign body
• 3D-CT
• thyroid gland

Details

• CRID: 1390282679992438528
• NII Article ID: 130004915771
• NII Book ID: AN00187474
• DOI: 10.2468/jbes.59.556
• ISSN: 18806848
• ISSN: 00290645
• NDL BIB ID: 9747559
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I9747559
• Web Site: https://search.jamas.or.jp/link/ui/2009098978
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed