An Unusual Cause of Cervical Radicular Pain-Foreign Body in Esophagus

Document Type: Case Report

Authors

1 Department of Neurological Sciences, Christian Medical College, Vellore, India.

2 Department of Otolaryngology, Christian Medical College, Vellore, India.

Abstract

Introduction:
Foreign bodies in the esophagus are considered to be a life-threatening condition in adults and children because of esophageal perforation, chemical pneumonitis, airway obstruction, and development of a fistula, leading to high morbidity and mortality with this condition. Most cases present with immediate symptoms. However, in rare cases, the foreign body can migrate within the tissues and become symptomatic at a later date.
 
Case Report:
We report a rare case of a foreign body in the esophagus following fishmeal ingestion. The foreign body had traversed the lumen of the esophagus and migrated into the neural foramina with impingement of the left C6 root with resulting left C6 radicular pain. Radiology and successful surgical management is discussed herein, along with relevant literature.
 
Conclusion:
Radiculopathy after foreign body ingestion is very rare. In patients presenting with persistent radicular pain, in particular in close proximity to the neurovascular structures, we advise early surgery to prevent a neurological deficit.

Keywords

Main Subjects


1. Chee LW, Sethi DS. Diagnostic and therapeutic approach to migrating foreign bodies. Ann Otol Rhinol Laryngol1999;108:177–80.

2. Pelucchi S, Bianchini C, Ciorba A, Pastore A. Unusual foreign body in the upper cervical oesophagus: case report. Acta Otorhinolaryngol Ital. 2007;27: 38–40.

3. Al-Qudah A, Daradkeh S, Abu-Khalaf M. Esophageal foreign bodies. Eur J Cardiothoracic Surg 1998;13:494–9.

4. Chadha SK, Gopalakrishnan S, Gopinath N. An unusual sharp foreign body in the esophagus and its removal.Otolaryngol Head Neck Surg 2003; 128: 766–8.

5. Xia X, Zhang F, Lu F, Jiang J, Wang L, Ma X. Stab wound with lodged knife tip causing spinal cord and vertebral artery injuries: case report and literature review. Spine 2012;1:931–4

6. De Lucas EM, Ruiz-Delgado ML, Garcia-Baron PL, Sadaba P, Pagola MA. Foreign esophageal body impaction: multimodality imaging diagnosis.Emerg Radiol 2004;10:216–7.

7. Athanassiadi K, Gerazounis M, Metaxas E, Kalantzi N. Management of esophageal foreign bodies: a retrospective review of 400 cases. Eur J Cardiothorac Surg. 2002;21(4):653–6.