alexa Is That an Oesophageal Foreign Body I See?
ISSN: 2165-7548

Emergency Medicine: Open Access
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Case Report

Is That an Oesophageal Foreign Body I See?

Ivan Chua SY* and Ponampalam R

Singapore General Hospital, Singapore

*Corresponding Author:
Ivan Chua SY
Singapore General Hospital, Singapore
Tel: +65 6788 8833
E-mail: drivanchua@gmail.com

Received Date: March 1, 2016; Accepted date: March 24, 2016; Published date: March 31, 2016

Citation: Ayuka F, Barnett R (2015) Place Effects on Alcohol Consumption: A Literature Review. J Addict Res Ther 6:316. doi: 10.4172/2155-6105.1000316

Copyright: © 2016 Ivan Chua SY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

The presence of an oesophageal foreign body is a medical emergency requiring urgent evaluation and treatment and in cases with complications such as migration of foreign body or oesophageal perforation, surgical intervention may be necessary. We present a case of a 23 year old Chinese female with no significant past medical history who presented to the emergency department with central chest discomfort for a week. She had throat discomfort prior which started after she accidentally swallowed a small piece of cockle shell while eating. CXR and lateral neck X-ray were done which did not reveal any abnormalities. A referral was made to the ENT team to rule out the possibility of a foreign body, and a nasoendoscopy was performed which did not reveal any abnormalities. In view of her persistent symptoms, a CT chest was performed which revealed a curvilinear radio dense opacity at the aortopulmonary window measuring 1.0cm, which is suspicious for a foreign body. The differential for a radio dense opacity in the aorto-pulmonary window is calcification of the ligamentum arteriosum, which was the final diagnosis after exclusion with further investigations inpatient.

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