Format

Send to

Choose Destination
See comment in PubMed Commons below
BMJ Case Rep. 2014 Apr 23;2014. pii: bcr2014204010. doi: 10.1136/bcr-2014-204010.

Retropharyngeal abscess complicating 'innocent' foreign body ingestion.

Author information

1
Department of Otolaryngology, Head and Neck Surgery, Hôpitaux Universitaires de Genève, Geneva, Switzerland.

Abstract

An adult patient presented to the emergency department with pharyngeal discomfort on swallowing, persisting several hours after lunch. Transnasal fibre-optic endoscopy performed by an otolaryngologist identified a hypopharyngeal foreign body, and the stalk of a dry leaf partially penetrating the mucosa was easily removed under general anaesthesia. Symptoms regressed completely and the patient was discharged. Two days later he presented again, reporting slight dysphagia without odynophagia or other associated symptoms. Meticulous physical examination by the same otolaryngologist revealed this time a slight asymmetry of the posterior pharyngeal wall. A history of recent pharyngeal trauma and findings on clinical examination raised clinical suspicion of retropharyngeal abscess which was supported by CT scan findings. The diagnosis was confirmed in the operating theatre where a purulent collection was drained under new general anaesthesia.

PMID:
24759165
PMCID:
PMC4009897
DOI:
10.1136/bcr-2014-204010
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Support Center