Esophageal Foreign Body Missed Diagnosis; an Analysis of 12 Cases
Archives of Academic Emergency Medicine,
Vol. 11 No. 1 (2023),
15 Aban 2022
,
Page e65
https://doi.org/10.22037/aaem.v11i1.2102
Abstract
Missed diagnosis of foreign bodies in esophagus occasionally results in adverse consequences for patients. This study aimed to analyze the clinical characteristics of esophageal foreign body missed diagnosis in 12 cases. Among the 12 patients, 7 didn't undergo esophagus-related examination due to mild pain; One case didn't report a clear history of swallowing foreign bodies. For one case, computed tomography (CT) examination had not reached the esophageal foreign body level. Two cases were missed diagnosis because the foreign bodies were too tiny to develop clearly on CT. One case showed foreign body in esophagus during initial CT examination, but after subsequent gastroscopy, no foreign body was found. Among the 12 patients, 7 had esophageal perforation, 1 of which developed a neck abscess, and 1 had peri-esophageal abscess. It seems that, if foreign bodies in the pharynx or esophagus are suspected and no foreign bodies are found in the laryngoscope, chest CT scan is necessary. It is best to perform examination of full-length esophagus and pharynx, because foreign bodies may exist in the post-cricoid region or the deep part of the pyriform sinus, especially in older cases with longer retention times.
- Foreign Bodies
- Esophagus
- Diagnosis
- Failure to Rescue
- Health Care
- Diagnostic Errors
How to Cite
References
Loh KS, Tan LK, Smith JD, Yeoh KH, Dong F. Complications of foreign bodies in the esophagus. Otolaryngol Head Neck Surg. 2000;123(5):613-6.
Vidarsdottir H, Blondal S, Alfredsson H, Geirsson A, Gudbjartsson T. Oesophageal perforations in Iceland: A whole population study on incidence, aetiology and surgical outcome. Thorac Cardiovasc Surg. 2010;58(8):476-80.
Geng C, Li X, Luo R, Cai L, Lei X, Wang C. Endoscopic management of foreign bodies in the upper gastrointestinal tract: A retrospective study of 1294 cases. Scand J Gastroenterol. 2017;52(11):1286-91.
Zhao Y, Zhang Y, Li Y, Li Y, Xu W. Application of esophageal CT to establish the evaluation model of foreign body position in rigid esophagoscopic surgery. J Clin Otorhinolaryngol Head Neck Surg. 2021;35(12):1097-100. (in Chinese)
Liu LF, Qiu HT, Jiang F, Chen LH, Li F, Yao J. Diagnosis and treatment of cervical migratory foreign bodies caused by sharp esophageal foreign bodies. J Clin Otorhinolaryngol Head Neck Surg. 2019;33(11):1068-71. (in Chinese)
Marçal N, Soares JB, Pereira G, Guimarães J, Gonçalves M, Godinho T. The management of ingested foreign bodies in an Ear Nose and Throat Emergency Unit: prospective study of 204 cases. Acta Otorrinolaringol Esp. 2013;64(3):197-203.
Jones NS, Lannigan FJ, Salama NY. Foreign bodies in the throat: a prospective study of 388 cases. J Laryngol Otol. 1991;105(2):104-8.
Siddique MS, Mumtaz A, Saeed MS, Bani Fawwaz BA, Hurairah A. Esophageal Foreign Body Removal: A Novel Approach. Cureus. 2021;13(9):e18081.
Baker TA, Krok-Schoen JL, O'Connor ML, Brooks AK. The Influence of Pain Severity and Interference on Satisfaction with Pain Management among Middle-Aged and Older Adults. Pain Res Manag. 2016;2016:9561024.
Wang L, Gong W, Feng Y, Wang X, Tang Y, Zhao S, et al. Clinical analysis of severe complications induced by esophageal foreign bodies. Chin J Otorhinolaryngol Head Neck Surg. 2015;50(6):507-10. (in Chinese)
Scher RL, Tegtmeyer CJ, McLean WC. Vascular injury following foreign body perforation of the esophagus. Review of the literature and report of a case. Ann Otol Rhinol Laryngol. 1990;99(9 Pt 1):698-702.
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