CASE REPORT
Foreign body embedded in the esophageal wall as a cause of dysphagia and regurgitation in a 16-month-old child: a case report and mini review
1
Student Scientific Group GEKON at the Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw, Poland
2
Department of Pediatric Gastroenterology and Nutrition, Medical University of Warsaw, Poland
These authors had equal contribution to this work
Submission date: 2025-05-11
Final revision date: 2025-06-26
Acceptance date: 2025-06-26
Publication date: 2025-09-29
Pediatr Pol 2025;61(3):299-303
KEYWORDS
TOPICS
ABSTRACT
Esophageal foreign bodies are a common clinical finding; however, transmural embedding of a foreign object into the esophageal wall is rare. In pediatric patients, the diagnosis may be particularly challenging due to non-specific and diverse symptomatology. Clinical manifestations of an esophageal foreign body may include regurgitation, odynophagia, or vomiting during food intake. This article described the case of a patient suspected of having a foreign body embedded in the esophageal wall, who primarily presented with symptoms of regurgitation during eating. We aimed to emphasize the importance of proper diagnosis and diagnostic procedures as well as increasing awareness of this condition. Additionally, the article included a brief literature review of pediatric cases with varied clinical presentations despite similar diagnosis.
REFERENCES (24)
1.
Crysdale WS, Sendi KS, Yoo J. Esophageal foreign bodies in children. 15-year review of 484 cases. Ann Otol Rhinol Laryngol 1991; 100: 320-324.
3.
Al-Qudah A, Daradkeh S, Abu-Khalaf M. Esophageal foreign bodies. Eur J Cardiothorac Surg 1998; 13: 494-498.
4.
Alam E, Mourad M, Akel S, Hadi U. A case of battery ingestion in a pediatric patient: what is its importance? Case Rep Pediatr 2015; 2015: 345050. DOI: 10.1155/2015/345050.
5.
Cheng W, Tam PK. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg 1999; 34: 1472-1476.
6.
Nandi P, Ong GB. Foreign body in the oesophagus: review of 2394 cases. Br J Surg 1978; 65: 5-9.
7.
Orsagh-Yentis D, McAdams RJ, Roberts KJ, McKenzie LB. Foreign- body ingestions of young children treated in US Emergency Departments: 1995-2015. Pediatrics 2019; 143: e20181988. DOI: 10.1542/ peds.2018-1988.
8.
Sittitrai P, Pattarasakulchai T, Tapatiwong H. Esophageal foreign bodies. J Med Assoc Thai 2000; 83: 1514-1518.
9.
Brady PG. Esophageal foreign bodies. Gastroenterol Clin North Am 1991; 20: 691-701.
10.
Ashraf O. Foreign body in the esophagus: a review. Sao Paulo Med J 2006; 124: 346-349.
11.
Isa HM, Aldoseri SA, Abduljabbar AS, Alsulaiti KA. Accidental ingestion of foreign bodies/harmful materials in children from Bahrain: a retrospective cohort study. World J Clin Pediatr 2023; 12: 205-219.
12.
Miller RS, Willging JP, Rutter MJ, Rookkapan K. Chronic esophageal foreign bodies in pediatric patients: a retrospective review. Int J Pediatr Otorhinolaryngol 2004; 68: 265-272.
13.
Lanzoni G, Sembenini C, Gastaldo S, Leonardi L, Bentivoglio VP, Faggian G, et al. Esophageal dysphagia in children: state of the art and proposal for a symptom-based diagnostic approach. Front Pediatr 2022; 10: 885308. DOI: 10.3389/fped.2022.885308.
14.
Rommel N, Hamdy S. Oropharyngeal dysphagia: manifestations and diagnosis. Nat Rev Gastroenterol Hepatol 2016; 13: 49-59.
15.
Park MI. Approach of dysphagia. Korean J Gastroenterol 2021; 77: 57-63 [Article in Korean].
16.
Glover P, Westmoreland T, Roy R, Sawaya D, Giles H, Nowicki M. Esophageal diverticulum arising from a prolonged retained esophageal foreign body. J Pediatr Surg 2013; 48: e9-e12. DOI: 10.1016/ j.jpedsurg.2012.11.032.
17.
Denney W, Ahmad N, Dillard B, Nowicki MJ. Children will eat the strangest things: a 10-year retrospective analysis of foreign body and caustic ingestions from a single academic center. Pediatr Emerg Care 2012; 28: 731-734.
18.
Tashtush NA, Bataineh ZA, Yusef DH, Al Quran TM, Rousan LA, Khasawneh R, et al. Ingested sharp foreign body presented as chronic esophageal stricture and inflammatory mediastinal mass for 113 weeks: case report. Ann Med Surg 2019; 45: 91-94.
19.
Tringali A, Thomson M, Dumonceau JM, Tavares M, Tabbers MM, Furlano R, et al. Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) guideline executive summary. Endoscopy 2017; 49: 83-91.
20.
Wai Pak M, Chung Lee W, Kwok Fung H, van Hasselt CA. A prospective study of foreign-body ingestion in 311 children. Int J Pediatr Otorhinolaryngol 2001; 58: 37-45.
21.
Thomson M, Tringali A, Dumonceau JM, Tavares M, Tabbers MM, Furlano R, et al. Paediatric gastrointestinal endoscopy: European Society for Paediatric Gastroenterology Hepatology and Nutrition and European Society of Gastrointestinal Endoscopy Guidelines. J Pediatr Gastroenterol Nutr 2017; 64: 133-153.
22.
Kuzmich S, Burke CJ, Harvey CJ, Kuzmich T, Andrews J, Reading N, et al. Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis. Br J Radiol 2015; 88: 20150086. DOI: 10.1259/bjr.20150086.
23.
Hawkins DB. Removal of blunt foreign bodies from the esophagus. Ann Otol Rhinol Laryngol 1990; 99: 935-940.
24.
Boo SJ, Kim HU. Esophageal foreign body: treatment and complications. Korean J Gastroenterol 2018; 72: 1-5 [Article in Korean].
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