

A 35-yr old Chinese man complaints of sharp pain in the throat on swallowing soonafter a hearty meal at Gurney Drive.
What do the neck X-rays suggest?
(Answer and revelatory photograph will be posted soon.)
ONLINE REPOSITORY OF CASES FOR TEACHING AND LEARNING OF EAR, NOSE AND THROAT DISEASES
4 comments:
Ouch...that must have been one hearty meal! :) He swallowed a whole bottlecap! I wonder how it was removed...
the Xrays showed a round shape foreign body at the trachea. i think he had just swallow a bottle cap.
I think it is a bottle cap stucked at the esophagus since the foreign body seems to look like having jagged edges and it is round.
Well done.
Indeed, that is a bottle cap you see stuck in the patient's esophagus.
Diagnosis: Foreign Body in Esophagus.
Removal of this foreign body will be difficult and may be dangerous to the patient due to its sharp edges. The most feared complication is mediastinitis - evidenced by chest or interscapular pain, fever and tachycardia.
The removed product can be viewed by clicking here.
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