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Cervicotomy for Removal of a Foreign Body from the Upper Esophagus: Case Report

Published in Reports (Volume 1, Issue 1)
Received: 30 May 2021    Accepted: 15 June 2021    Published: 25 June 2021
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Abstract

The objective of the study was to report the case of a patient transferred for management of a foreign body in the upper esophagus at the University Clinics of Kinshasa. This is a 62-year-old patient who ingested her dentures while taking medication, consulted for dysphagia and hyper sialorrhea, explorations revealed a high esophageal location of the foreign body (CE). It was a three-toothed prosthesis with hooks. The esophagus was closed at separate points and the wall in three planes after installation of a drain. The postoperative period was marked 48 hours later by fever and polypnea. The haematological workup performed showed moderate anemia. The frontal chest x-ray revealed superior bile-lobar pneumonia. The diagnosis of an ENT and / or pulmonary entry-gate Sepsis is made and the patient is treated with triple antibiotic therapy (3rd generation cephalosporins, tazobactam and immidazoles). The clinical course was good with thermal lysis. After an unsuccessful endoscopic extraction attempt, a cervicotomy was performed allowing the extraction of the said foreign body. This extraction was carried out by a multidisciplinary team made up of digestive surgeons, ENTists and Gastroenterologists. The follow-up after the intervention was satisfactory and the patient had resumed his digestive function without handicap and survival.

Published in Reports (Volume 1, Issue 1)
DOI 10.11648/j.reports.20210101.12
Page(s) 7-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Foreign Body, Esophagus, Ingestion, Endoscopy, Cervicotomy

References
[1] Vignon RK, Kodjoh N, Olorytogbe JC. Endoscopic management of esophageal foreign bodies in Benin, J. Afr. hepato-gastroenterology, 2014; 8: 135-138.
[2] Haenning A, Bournet B, Buscail L. Conduit à tenir devant une ingestion de corps étrangers, Hépato Gastro 2011; 18: 249-257. doi: 10/1684/ hpg. 2011.0582.
[3] Lachaux A, Letard JC, Laugier R, Gay Get. Les corps étrangers ingérés, Acta endoscopica 2004; 37 (1): 91-3.
[4] Mohamed AG. Cervicotomie pour extraction d’un corps étranger de l’oesopage: à propos d’un cas, Med. d’Afr noire 1993, 40 (4).
[5] Guidelines for the management of ingested foreign bodies. Gastrointest Endosc 1995; 42: 662-25.
[6] Arana A, Hauser B. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr 2001; 21: 455-60.
[7] Pfau PR. Removal and management of oesophageal foreign bodies. Tech Gastroint Endosc 2014; 16: 32-39.
[8] Lakdhar-Idrissi M, Hida M. L’ingestion de corps étranger chez l’enfant: à propos de 105 cas. Arch Pédiatr 2011; 18: 856-62.
[9] Hung CW, Hung SC, Lee CJ. Risk factors for complications after a foreign body is retained in the esophagus. J Emerg Med 2012; 43: 423-7.
[10] Michaud L, Bellaiche M, Olives JP. Ingestion de corps étrangers chez l’enfant. Recommandations du groupe francophone d’hépatologie, gastroentérologie et nutrition pédiatriques. Arch Pediatr 2009; 16: 54-61.
[11] Antonoff, MB and D. Kreisel. Esophageal foreign body: hooked fishing lure. Ann. Thorac. Surg. 2017; 98 (4): 1481.
[12] Cadiere GB and Ansay J. [Esophageal perforation caused by a foreign body. Apropos of a case report]. Rev. Medicale Brux. 2019; 12 (5): 173–178.
[13] Chua YKD, See JY, and Ti TK, Oesophageal-impacted denture requiring open surgery. Singap. Med. 2016; J. 47 (9): 820–821.
[14] Imam SZ. Cervical esophagotomy for an impacted denture: a case report. Ear, Nose, Throat J. 2006; 88 (3): 833–834.
[15] Ginsberg GG. Management of ingested foreign objects and food bolus impactions. Gastrointest. Endosc., 1995; 41 (1), 33-38.
[16] Gagnier JJ. The CARE guidelines: consensus-based clinical case reporting guideline development. BMJ Case Rep., 2013 (2013).
[17] Balasubramaniam SK. A review of the current management of impacted foreign bodies in the oesophagus in adults. Eur. Arch. Otorhinolaryngol., 2008; 265 (8): 951-956.
[18] Emara MH. Endoscopic removal of foreign bodies from the upper gastrointestinal tract: 5-year experience Clin. Exp. Gastroenterol. 2014; 7: 249-253.
Cite This Article
  • APA Style

    Keren Themua Kayongo, Jerome Gedikondele Sokolo, Aliocha Natuhoyila Nkodila, Trésor Monsere, Rigobert Shamamba, et al. (2021). Cervicotomy for Removal of a Foreign Body from the Upper Esophagus: Case Report. Reports, 1(1), 7-9. https://doi.org/10.11648/j.reports.20210101.12

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    ACS Style

    Keren Themua Kayongo; Jerome Gedikondele Sokolo; Aliocha Natuhoyila Nkodila; Trésor Monsere; Rigobert Shamamba, et al. Cervicotomy for Removal of a Foreign Body from the Upper Esophagus: Case Report. Reports. 2021, 1(1), 7-9. doi: 10.11648/j.reports.20210101.12

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    AMA Style

    Keren Themua Kayongo, Jerome Gedikondele Sokolo, Aliocha Natuhoyila Nkodila, Trésor Monsere, Rigobert Shamamba, et al. Cervicotomy for Removal of a Foreign Body from the Upper Esophagus: Case Report. Reports. 2021;1(1):7-9. doi: 10.11648/j.reports.20210101.12

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  • @article{10.11648/j.reports.20210101.12,
      author = {Keren Themua Kayongo and Jerome Gedikondele Sokolo and Aliocha Natuhoyila Nkodila and Trésor Monsere and Rigobert Shamamba and Antoine Wola Tshimpi and Dickson Tadulu Veyi and Richard Nzanza Matanda},
      title = {Cervicotomy for Removal of a Foreign Body from the Upper Esophagus: Case Report},
      journal = {Reports},
      volume = {1},
      number = {1},
      pages = {7-9},
      doi = {10.11648/j.reports.20210101.12},
      url = {https://doi.org/10.11648/j.reports.20210101.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.reports.20210101.12},
      abstract = {The objective of the study was to report the case of a patient transferred for management of a foreign body in the upper esophagus at the University Clinics of Kinshasa. This is a 62-year-old patient who ingested her dentures while taking medication, consulted for dysphagia and hyper sialorrhea, explorations revealed a high esophageal location of the foreign body (CE). It was a three-toothed prosthesis with hooks. The esophagus was closed at separate points and the wall in three planes after installation of a drain. The postoperative period was marked 48 hours later by fever and polypnea. The haematological workup performed showed moderate anemia. The frontal chest x-ray revealed superior bile-lobar pneumonia. The diagnosis of an ENT and / or pulmonary entry-gate Sepsis is made and the patient is treated with triple antibiotic therapy (3rd generation cephalosporins, tazobactam and immidazoles). The clinical course was good with thermal lysis. After an unsuccessful endoscopic extraction attempt, a cervicotomy was performed allowing the extraction of the said foreign body. This extraction was carried out by a multidisciplinary team made up of digestive surgeons, ENTists and Gastroenterologists. The follow-up after the intervention was satisfactory and the patient had resumed his digestive function without handicap and survival.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Cervicotomy for Removal of a Foreign Body from the Upper Esophagus: Case Report
    AU  - Keren Themua Kayongo
    AU  - Jerome Gedikondele Sokolo
    AU  - Aliocha Natuhoyila Nkodila
    AU  - Trésor Monsere
    AU  - Rigobert Shamamba
    AU  - Antoine Wola Tshimpi
    AU  - Dickson Tadulu Veyi
    AU  - Richard Nzanza Matanda
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    DO  - 10.11648/j.reports.20210101.12
    T2  - Reports
    JF  - Reports
    JO  - Reports
    SP  - 7
    EP  - 9
    PB  - Science Publishing Group
    SN  - 2994-7146
    UR  - https://doi.org/10.11648/j.reports.20210101.12
    AB  - The objective of the study was to report the case of a patient transferred for management of a foreign body in the upper esophagus at the University Clinics of Kinshasa. This is a 62-year-old patient who ingested her dentures while taking medication, consulted for dysphagia and hyper sialorrhea, explorations revealed a high esophageal location of the foreign body (CE). It was a three-toothed prosthesis with hooks. The esophagus was closed at separate points and the wall in three planes after installation of a drain. The postoperative period was marked 48 hours later by fever and polypnea. The haematological workup performed showed moderate anemia. The frontal chest x-ray revealed superior bile-lobar pneumonia. The diagnosis of an ENT and / or pulmonary entry-gate Sepsis is made and the patient is treated with triple antibiotic therapy (3rd generation cephalosporins, tazobactam and immidazoles). The clinical course was good with thermal lysis. After an unsuccessful endoscopic extraction attempt, a cervicotomy was performed allowing the extraction of the said foreign body. This extraction was carried out by a multidisciplinary team made up of digestive surgeons, ENTists and Gastroenterologists. The follow-up after the intervention was satisfactory and the patient had resumed his digestive function without handicap and survival.
    VL  - 1
    IS  - 1
    ER  - 

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Author Information
  • Departmen of Otorhino-Laryngolog, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Departmen of Otorhino-Laryngolog, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Family Medicine and Primary Health Care, Protestant University in Congo, Kinshasa, Democratic Republic of Congo

  • Department of Hepato Gastroenterology, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Anesthesia and Resuscitation, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Hepato Gastroenterology, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Digestive and General Surgery, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Departmen of Otorhino-Laryngolog, University of Kinshasa, Kinshasa, Democratic Republic of Congo

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