Skip to main content
Top
Published in: Head & Face Medicine 1/2006

Open Access 01-12-2006 | Case report

An unusual foreign body migrating through time and tissues

Authors: Basile N Landis, Roland Giger

Published in: Head & Face Medicine | Issue 1/2006

Login to get access

Abstract

Background

Beside infections, foreign body incidences are amongst the most frequently encountered pathologies in pediatric otolaryngology. While inhaled foreign bodies represent an acute emergency, symptoms of ingested foreign bodies sometimes appear with some delay. Typically fishbones tend to go unnoticed in a first examination and become symptomatic by fever, odynodyspahgia and torticollis. Exceptionally, foreign bodies migrate and become manifest with a considerable delay.

Case report

We present a case of a young girl who presented with an unusual foreign body which migrated through the cervical tissues causing repeated cervical tumescence's before being diagnosed.

Conclusion

Repeated cervical abscesses or tumescence's in children or young patients should alert the treating physician to seek for an underlying pathology such as unnoticed foreign bodies or malformations (e.g. cysts). Further the scarce literature on these migrating foreign bodies is discussed.
Appendix
Available only for authorised users
Literature
1.
go back to reference Chee LW, Sethi DS: Diagnostic and therapeutic approach to migrating foreign bodies. Ann Otol Rhinol Laryngol. 1999, 108: 177-180.CrossRefPubMed Chee LW, Sethi DS: Diagnostic and therapeutic approach to migrating foreign bodies. Ann Otol Rhinol Laryngol. 1999, 108: 177-180.CrossRefPubMed
2.
go back to reference Brinster CJ, Singhal S, Lee L, Marshall MB, Kaiser LR, Kucharczuk JC: Evolving options in the management of esophageal perforation. Ann Thorac Surg. 2004, 77: 1475-1483.CrossRefPubMed Brinster CJ, Singhal S, Lee L, Marshall MB, Kaiser LR, Kucharczuk JC: Evolving options in the management of esophageal perforation. Ann Thorac Surg. 2004, 77: 1475-1483.CrossRefPubMed
3.
go back to reference Gilchrist BF, Valerie EP, Nguyen M, Coren C, Klotz D, Ramenofsky ML: Pearls and perils in the management of prolonged, peculiar, penetrating esophageal foreign bodies in children. J Pediatr Surg. 1997, 32: 1429-1431.CrossRefPubMed Gilchrist BF, Valerie EP, Nguyen M, Coren C, Klotz D, Ramenofsky ML: Pearls and perils in the management of prolonged, peculiar, penetrating esophageal foreign bodies in children. J Pediatr Surg. 1997, 32: 1429-1431.CrossRefPubMed
4.
go back to reference Tsunoda K, Sakai Y, Watanabe T, Suzuki Y: Pseudo vocal paralysis caused by a fish bone. Lancet. 2002, 360: 907-CrossRefPubMed Tsunoda K, Sakai Y, Watanabe T, Suzuki Y: Pseudo vocal paralysis caused by a fish bone. Lancet. 2002, 360: 907-CrossRefPubMed
5.
go back to reference Barzilai G, Braverman I, Karmeli R, Greenberg E: How did it get there? A coiled metal foreign body in an unusual cervical position. Otolaryngol Head Neck Surg. 2001, 124: 590-591.CrossRefPubMed Barzilai G, Braverman I, Karmeli R, Greenberg E: How did it get there? A coiled metal foreign body in an unusual cervical position. Otolaryngol Head Neck Surg. 2001, 124: 590-591.CrossRefPubMed
6.
go back to reference Cheng W, Tam PK: Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999, 34: 1472-1476.CrossRefPubMed Cheng W, Tam PK: Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999, 34: 1472-1476.CrossRefPubMed
7.
go back to reference Wadie GM, Konefal SH, Dias MA, McLaughlin MR: Cervical spondylodiscitis from an ingested pin: a case report. J Pediatr Surg. 2005, 40: 593-596.CrossRefPubMed Wadie GM, Konefal SH, Dias MA, McLaughlin MR: Cervical spondylodiscitis from an ingested pin: a case report. J Pediatr Surg. 2005, 40: 593-596.CrossRefPubMed
8.
go back to reference Nusbaum AO, Som PM, Rothschild MA, Shugar JM: Recurrence of a deep neck infection: a clinical indication of an underlying congenital lesion. Arch Otolaryngol Head Neck Surg. 1999, 125: 1379-1382.CrossRefPubMed Nusbaum AO, Som PM, Rothschild MA, Shugar JM: Recurrence of a deep neck infection: a clinical indication of an underlying congenital lesion. Arch Otolaryngol Head Neck Surg. 1999, 125: 1379-1382.CrossRefPubMed
9.
go back to reference Gertner R, Bar'el E, Fradis M, Podoshin L: Unusual complication of an ingested foreign body. J Laryngol Otol. 1991, 105: 146-147.CrossRefPubMed Gertner R, Bar'el E, Fradis M, Podoshin L: Unusual complication of an ingested foreign body. J Laryngol Otol. 1991, 105: 146-147.CrossRefPubMed
10.
go back to reference Kumar BN, Walsh RM, Courteney-Harris RG: Laryngeal foreign body: an unusual complication of percutaneous tracheostomy. J Laryngol Otol. 1997, 111: 652-653.PubMed Kumar BN, Walsh RM, Courteney-Harris RG: Laryngeal foreign body: an unusual complication of percutaneous tracheostomy. J Laryngol Otol. 1997, 111: 652-653.PubMed
11.
12.
go back to reference Botma M, Bader R, Kubba H: 'A parent's kiss': evaluating an unusual method for removing nasal foreign bodies in children. J Laryngol Otol. 2000, 114: 598-600.PubMed Botma M, Bader R, Kubba H: 'A parent's kiss': evaluating an unusual method for removing nasal foreign bodies in children. J Laryngol Otol. 2000, 114: 598-600.PubMed
Metadata
Title
An unusual foreign body migrating through time and tissues
Authors
Basile N Landis
Roland Giger
Publication date
01-12-2006
Publisher
BioMed Central
Published in
Head & Face Medicine / Issue 1/2006
Electronic ISSN: 1746-160X
DOI
https://doi.org/10.1186/1746-160X-2-30

Other articles of this Issue 1/2006

Head & Face Medicine 1/2006 Go to the issue