Bhatt Sachin, Bhansali Anvita, Thakur Rajneesh, Dutta Angshuman, Naga Rahul, Kumar Sanjay
Department of ENT-HNS, Command Hospital Airforce, Bangalore, India.
Department of Gastroenterology, Command Hospital Airforce, Bangalore, India.
Indian J Otolaryngol Head Neck Surg. 2025 May;77(5):2192-2195. doi: 10.1007/s12070-025-05481-w. Epub 2025 Apr 22.
Esophageal foreign bodies (FBs) are a common medical emergency, often requiring prompt diagnosis and intervention to prevent severe complications. While sharp objects like bones are frequently encountered, iatrogenic foreign bodies remain rare. We present a unique case of an elderly patient who inadvertently swallowed the dislodged tip of a Lignocaine spray applicator during an ENT procedure. Despite being asymptomatic, imaging confirmed the foreign body in the lower esophagus, which was successfully retrieved via flexible endoscopy. Our case highlights the importance of thorough assessment and imaging when foreign body ingestion is suspected, even in asymptomatic individuals. It also highlights the importance of careful equipment inspection, early recognition of potential device malfunctions, and timely intervention to ensure patient safety.
食管异物是一种常见的医疗急症，通常需要迅速诊断和干预以预防严重并发症。虽然经常会遇到像骨头这样的尖锐物体，但医源性异物仍然很少见。我们报告了一例独特的病例，一名老年患者在耳鼻喉科手术期间无意中吞下了利多卡因喷雾器脱落的尖端。尽管患者没有症状，但影像学检查证实异物位于食管下段，通过柔性内镜成功取出。我们的病例强调了在怀疑有异物摄入时进行全面评估和影像学检查的重要性，即使是无症状的个体。它还强调了仔细检查设备、早期识别潜在设备故障以及及时干预以确保患者安全的重要性。
