Abstract: We report an unusual case of an ingested foreign body in 26 year old female that perforated the esophagus and penetrated the thyroid gland. A neck exploration was done to remove the foreign body. In literature various cases have been described where foreign bodies ingested were lodged in the upper aero digestive tract, but only few of these foreign bodies perforate the oesophagus and an even fewer migrate extraluminally. If untreated, they may result in life threatening suppurative or vascular complications. Exploration of the neck/thyroid gland via an external approach to remove the foreign body is the recommended treatment.
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We present a noteworthy case involving a 26-year-old female who ingested a foreign body, resulting in a rare occurrence of esophageal perforation and subsequent penetration of the thyroid gland. Given the complexity of the situation, a thorough neck exploration was undertaken to carefully extract the foreign object.
While existing literature does document instances of foreign bodies being lodged in the upper aerodigestive tract, it is relatively uncommon for such objects to lead to esophageal perforation, and an even smaller number migrate extraluminally.
It is crucial to note that untreated cases of esophageal perforation from ingested foreign bodies may give rise to severe, life-threatening complications, including suppurative or vascular issues. Recognizing the potential gravity of such situations, prompt intervention becomes paramount. In this particular case, the recommended approach involved a meticulous exploration of the neck and thyroid gland, utilizing an external approach to ensure the safe and effective removal of the foreign body.
This case underscores the importance of vigilance in managing ingested foreign bodies, as well as the necessity for a comprehensive understanding of the potential complications that may arise. The success of the external approach in this instance reinforces its merit as a preferred method for addressing such intricate cases, emphasizing the significance of timely and appropriate medical intervention to safeguard patient well-being.
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