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Oral Radiol. 2014;30:196-202. Epub 2013 Oct 24.

The utility of repeated computed tomography to track a foreign body penetrating the esophagus to the level of the thyroid gland.

Author information

  • 1Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310003 China.
  • 2Department of Radiology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310003 China.

Abstract

OBJECTIVE:

Foreign body (FB) ingestion is a common problem in otolaryngology. One uncommon complication of FB ingestion is penetration to the level of the thyroid gland. To our knowledge, only 21 such cases have been reported in the literature. Here, we report a case of an esophageal FB penetrating to the level of the right thyroid gland.

CASE REPORT:

The patient was a 38-year-old woman in whom an esophageal FB penetrated to the level of the right thyroid gland. We traced the path to the thyroid gland using repeated computed tomography (CT) scans and demonstrated the importance of multiplanar reconstruction in locating the FB and formulating a precise surgical plan.

CONCLUSIONS:

To our knowledge, this is the first report of repeat CT scans being used to demonstrate the migratory route, over time, of a FB penetrating through the esophagus to the level of the thyroid gland. Our results suggest that multiplanar reconstruction may play a key role in the precise diagnosis of a FB at the level of the thyroid gland and may help surgeons choose the best approach for removal.

KEYWORDS:

Computed tomography; Foreign body; Migration; Surgery; Thyroid gland

PMID:
24817789
[PubMed]
PMCID:
PMC4009138
Free PMC Article
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