A Decade-old Foreign Body Neck: An Unusual Case

JOURNAL TITLE: Journal of Medical Academics

Author
1. Moudipa Chatterjee
2. Ashwani Sethi
3. Ingita Bhardwaj
4. Deepika Sethi
ISSN
DOI
10.5005/jp-journals-11003-0102
Volume
4
Issue
2
Publishing Year
2021
Pages
3
Author Affiliations
    1. Department of Ear, Nose, and Throat, Dr. Baba Sahib Ambedkar Medical College and Hospital, New Delhi, Delhi, India
    1. Department of Otorhinolaryngology-Head Neck Surgery, BSA Hospital and Medical College, New Delhi, India
    1. Department of Ear, Nose, and Throat, Dr. Baba Sahib Ambedkar Medical College and Hospital, New Delhi, Delhi, India
    1. Department of ENT, Army College of Medical Sciences, Base Hospital, New Delhi, India
  • Article keywords
    Foreign body, Head and neck, Parotid gland

    Abstract

    Aim: To share our experience in diagnosing and managing an asymptomatic, long-standing impacted foreign body in the neck. Background: Head and neck is not an uncommon site for penetrating foreign body impaction. Nonspecific minor injuries may undergo unrecognized but vascular injuries due to sharp foreign bodies may have devastating outcomes. Most of these foreign bodies are recognized and retrieved in the early post-trauma period. Our patient had a long-standing foreign body which was incidentally discovered on a radiological scan. Case description: A 28-year-old patient was incidentally discovered to have a long-standing, asymptomatic, impacted metallic foreign body in the neck while he was undergoing magnetic resonance imaging (MRI) of the hip. The foreign body was surgically removed. Conclusion: Impacted metallic foreign bodies may lie asymptomatic for long durations of time without causing any morbidity to the patient. Clinical significance: The decision for removing the asymptomatic impacted foreign body can be taken on a case-to-case basis. We present a foreign body neck case to demonstrate how it can interfere with the radiological diagnosis of other diseases and needs to be retrieved.

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