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Case Reports
. 2014 Jan;29(1):64-6.
doi: 10.5001/omj.2014.14.

Metallic foreign body migrating into prevertebral muscles: how we did it?

Roshan Kumar Verma  1 , Naresh K Panda  1
Affiliations
Case Reports

Metallic foreign body migrating into prevertebral muscles: how we did it?

Roshan Kumar Verma et al. Oman Med J. 2014 Jan.

Abstract

Accidental ingestion of foreign bodies is common in ENT practice. A very small number of ingested foreign bodies perforate the esophagus and even a smaller fraction of extra mucosal migration penetrates into the soft tissues of the neck. Most cases reported in the literature involve fish bones. If left untreated, they may result in life threatening complications. This case presents a patient with a metallic foreign body (metal wire) in the esophagus which migrated extraluminally into the prevertebral muscle of the neck and describes the difficulties encountered in removing the migrated foreign body. Intra-operative radiography using two metallic pointers was used to locate the exact position of the foreign body during exploration of the neck.

Keywords: Esophagus; Metallic foreign body (steel wire); Migration; Prevertebral muscles.

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Figures

Figure 1
Figure 1
CT scan of the neck: (Axial and sagital) showing foreign body embedded into the prevertebral muscles.
Figure 2
Figure 2
Intra operative radiography (using C arm) with metallic pointer showing the foreign body between two metallic markers.
Figure 3
Figure 3
Foreign body embedded within prevertebral muscles removed by exploration of the neck.
See this image and copyright information in PMC

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