Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy

N’faly Konaté; Kassim Diarra; Yaya Dembele; Drissa Kaloga Bagayoko; Sidibé Youssouf; Ibrahim Bouare; Keïta Mohamed

doi:doi:10.11648/j.ijo.20220801.13

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Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy

N’faly Konaté, Kassim Diarra, Yaya Dembele, Drissa Kaloga Bagayoko, Sidibé Youssouf, Ibrahim Bouare, Keïta Mohamed

Published in International Journal of Otorhinolaryngology (Volume 8, Issue 1)

Received: 14 May 2022 Accepted: 27 May 2022 Published: 9 June 2022

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Abstract

Objectives: Our work was aimed at exposing the methods of extraction of a foreign body enclosed in the cervical esophagus and specifying the place of cervicotomy in its management. Observation: We report the case of a 76-year-old patient admitted to the ENT emergency department for sudden onset dysphagia following the ingestion of a foreign body of dental prosthesis type (two teeth). The face and profile cervicothoracic radiography revealed a thickening of the oesophageal lumen associated with a prevertebral hyperclarity at the height of the C8 and D1 vertebrae. After two endoscopic extraction attempts to the rigid tube we performed a cervicothoracic CT that showed the dental prosthesis at the height of C8-D1 associated with a peripheral hyperclarity and a left pneumothorax. The hemoglobin level was 14 g/dl, the prothrombin rate was 84%, the activated partial thromboplastin time was 35 seconds. The cervicotomy allowed us to note a perforation of the esophagus at the height of C8-D1. We made an oesophagofissure that allowed us to extract the prosthesis. The reconstruction of the oesophageal lesion was done in two planes. Conclusion: Denture type foreign bodies carry a risk of perforation, especially when endoscopic extraction is difficult. This risk is all the more important when the extraction time is long, when there is a pre-existing oesophageal pathology and by forced extraction maneuvers. Standard surgery is the best way to prevent perforation and septic complications.

Published in	International Journal of Otorhinolaryngology (Volume 8, Issue 1)
DOI	10.11648/j.ijo.20220801.13
Page(s)	17-20
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), 2022. Published by Science Publishing Group

Keywords

Foreign Body, Complication, Cervicotomy

References

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[2]	BARROS (DE) A, DEHESDIN D. Foreign bodies of the esophagus. Encycl Med Chir (scientific and medical editions Elsevier SA, Paris, 20-835-A-10, Gastroenterology, 9-203-D-10, 2000, p.
[3]	SOCKEEL P and col. Perforations of the thoracic esophagus by foreign body. Journal of Surgery (2009) 146, 40-47.
[4]	ROSIERE A et al. Treatment of oesophageal perforations. EMC-Surgery 2004. 211-230.
[5]	GALL C and col. Traumatic perforations of the esophagus Traumatic esophageal perforations. The Practitioner in Anesthesia Resuscitation 2016, 20 (3): 123-130.
[6]	J.-C. PIGNAT, A. COSMIDIS, O. MERROT. Pathologie œsophagienne de l'adulte, EMC - Oto-rhino-laryngologie 2005, 2 (4): 458-489, https://doi.org/10.1016/j.emcorl.2005.10.0
[7]	TOGO S et al. Management of Foreign Enclaves of the Esophagus: About of 36 cases. Pan African Medical Journal. 2017 27: 207 doi: 10.11604/pamj.2017.27.207.7463.
[8]	LAUGEL V, BELADDALE J, ESCANDE B, SIMEONI U. Accidental battery-button ingestion. Arch Pediatr 1999; 6: 1231-5.
[9]	NICOLLAS R, BREAUD J, DELARUE A AND TRIGLIA JM. Esophageal pathology of the child. Encycl Med Chir (Elsevier SAS, Paris, all rights reserved), Otorhinolaryngology, 20-826-A-10, 2003, 12 p.
[10]	KABORE A, and col. Complications of foreign bodies with button cells in children: about two cases. Pediatric and Juvenile Journal (2018), https://doi.org/10.1016/j.jpp.2018.11.004

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APA Style

N’faly Konaté, Kassim Diarra, Yaya Dembele, Drissa Kaloga Bagayoko, Sidibé Youssouf, et al. (2022). Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy. International Journal of Otorhinolaryngology, 8(1), 17-20. https://doi.org/10.11648/j.ijo.20220801.13

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ACS Style

N’faly Konaté; Kassim Diarra; Yaya Dembele; Drissa Kaloga Bagayoko; Sidibé Youssouf, et al. Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy. Int. J. Otorhinolaryngol. 2022, 8(1), 17-20. doi: 10.11648/j.ijo.20220801.13

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AMA Style

N’faly Konaté, Kassim Diarra, Yaya Dembele, Drissa Kaloga Bagayoko, Sidibé Youssouf, et al. Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy. Int J Otorhinolaryngol. 2022;8(1):17-20. doi: 10.11648/j.ijo.20220801.13

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@article{10.11648/j.ijo.20220801.13,
  author = {N’faly Konaté and Kassim Diarra and Yaya Dembele and Drissa Kaloga Bagayoko and Sidibé Youssouf and Ibrahim Bouare and Keïta Mohamed},
  title = {Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy},
  journal = {International Journal of Otorhinolaryngology},
  volume = {8},
  number = {1},
  pages = {17-20},
  doi = {10.11648/j.ijo.20220801.13},
  url = {https://doi.org/10.11648/j.ijo.20220801.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220801.13},
  abstract = {Objectives: Our work was aimed at exposing the methods of extraction of a foreign body enclosed in the cervical esophagus and specifying the place of cervicotomy in its management. Observation: We report the case of a 76-year-old patient admitted to the ENT emergency department for sudden onset dysphagia following the ingestion of a foreign body of dental prosthesis type (two teeth). The face and profile cervicothoracic radiography revealed a thickening of the oesophageal lumen associated with a prevertebral hyperclarity at the height of the C8 and D1 vertebrae. After two endoscopic extraction attempts to the rigid tube we performed a cervicothoracic CT that showed the dental prosthesis at the height of C8-D1 associated with a peripheral hyperclarity and a left pneumothorax. The hemoglobin level was 14 g/dl, the prothrombin rate was 84%, the activated partial thromboplastin time was 35 seconds. The cervicotomy allowed us to note a perforation of the esophagus at the height of C8-D1. We made an oesophagofissure that allowed us to extract the prosthesis. The reconstruction of the oesophageal lesion was done in two planes. Conclusion: Denture type foreign bodies carry a risk of perforation, especially when endoscopic extraction is difficult. This risk is all the more important when the extraction time is long, when there is a pre-existing oesophageal pathology and by forced extraction maneuvers. Standard surgery is the best way to prevent perforation and septic complications.},
 year = {2022}
}

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TY - JOUR
T1 - Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy
AU - N’faly Konaté
AU - Kassim Diarra
AU - Yaya Dembele
AU - Drissa Kaloga Bagayoko
AU - Sidibé Youssouf
AU - Ibrahim Bouare
AU - Keïta Mohamed
Y1 - 2022/06/09
PY - 2022
N1 - https://doi.org/10.11648/j.ijo.20220801.13
DO - 10.11648/j.ijo.20220801.13
T2 - International Journal of Otorhinolaryngology
JF - International Journal of Otorhinolaryngology
JO - International Journal of Otorhinolaryngology
SP - 17
EP - 20
PB - Science Publishing Group
SN - 2472-2413
UR - https://doi.org/10.11648/j.ijo.20220801.13
AB - Objectives: Our work was aimed at exposing the methods of extraction of a foreign body enclosed in the cervical esophagus and specifying the place of cervicotomy in its management. Observation: We report the case of a 76-year-old patient admitted to the ENT emergency department for sudden onset dysphagia following the ingestion of a foreign body of dental prosthesis type (two teeth). The face and profile cervicothoracic radiography revealed a thickening of the oesophageal lumen associated with a prevertebral hyperclarity at the height of the C8 and D1 vertebrae. After two endoscopic extraction attempts to the rigid tube we performed a cervicothoracic CT that showed the dental prosthesis at the height of C8-D1 associated with a peripheral hyperclarity and a left pneumothorax. The hemoglobin level was 14 g/dl, the prothrombin rate was 84%, the activated partial thromboplastin time was 35 seconds. The cervicotomy allowed us to note a perforation of the esophagus at the height of C8-D1. We made an oesophagofissure that allowed us to extract the prosthesis. The reconstruction of the oesophageal lesion was done in two planes. Conclusion: Denture type foreign bodies carry a risk of perforation, especially when endoscopic extraction is difficult. This risk is all the more important when the extraction time is long, when there is a pre-existing oesophageal pathology and by forced extraction maneuvers. Standard surgery is the best way to prevent perforation and septic complications.
VL - 8
IS - 1
ER -

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Author Information

N’faly Konaté

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Kassim Diarra

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Yaya Dembele

ENT and Head and Neck Surgery Department, Army Polyclinic Kati, Kati, Mali
Drissa Kaloga Bagayoko

ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child “Le Luxembourg”, Bamako, Mali
Sidibé Youssouf

ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child “Le Luxembourg”, Bamako, Mali
Ibrahim Bouare

ENT and Head and Neck Surgery Department, Army Bamako, Bamako, Mali
Keïta Mohamed

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APA Style

N’faly Konaté, Kassim Diarra, Yaya Dembele, Drissa Kaloga Bagayoko, Sidibé Youssouf, et al. (2022). Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy. International Journal of Otorhinolaryngology, 8(1), 17-20. https://doi.org/10.11648/j.ijo.20220801.13

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ACS Style

N’faly Konaté; Kassim Diarra; Yaya Dembele; Drissa Kaloga Bagayoko; Sidibé Youssouf, et al. Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy. Int. J. Otorhinolaryngol. 2022, 8(1), 17-20. doi: 10.11648/j.ijo.20220801.13

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AMA Style

N’faly Konaté, Kassim Diarra, Yaya Dembele, Drissa Kaloga Bagayoko, Sidibé Youssouf, et al. Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy. Int J Otorhinolaryngol. 2022;8(1):17-20. doi: 10.11648/j.ijo.20220801.13

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@article{10.11648/j.ijo.20220801.13,
  author = {N’faly Konaté and Kassim Diarra and Yaya Dembele and Drissa Kaloga Bagayoko and Sidibé Youssouf and Ibrahim Bouare and Keïta Mohamed},
  title = {Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy},
  journal = {International Journal of Otorhinolaryngology},
  volume = {8},
  number = {1},
  pages = {17-20},
  doi = {10.11648/j.ijo.20220801.13},
  url = {https://doi.org/10.11648/j.ijo.20220801.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220801.13},
  abstract = {Objectives: Our work was aimed at exposing the methods of extraction of a foreign body enclosed in the cervical esophagus and specifying the place of cervicotomy in its management. Observation: We report the case of a 76-year-old patient admitted to the ENT emergency department for sudden onset dysphagia following the ingestion of a foreign body of dental prosthesis type (two teeth). The face and profile cervicothoracic radiography revealed a thickening of the oesophageal lumen associated with a prevertebral hyperclarity at the height of the C8 and D1 vertebrae. After two endoscopic extraction attempts to the rigid tube we performed a cervicothoracic CT that showed the dental prosthesis at the height of C8-D1 associated with a peripheral hyperclarity and a left pneumothorax. The hemoglobin level was 14 g/dl, the prothrombin rate was 84%, the activated partial thromboplastin time was 35 seconds. The cervicotomy allowed us to note a perforation of the esophagus at the height of C8-D1. We made an oesophagofissure that allowed us to extract the prosthesis. The reconstruction of the oesophageal lesion was done in two planes. Conclusion: Denture type foreign bodies carry a risk of perforation, especially when endoscopic extraction is difficult. This risk is all the more important when the extraction time is long, when there is a pre-existing oesophageal pathology and by forced extraction maneuvers. Standard surgery is the best way to prevent perforation and septic complications.},
 year = {2022}
}

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