Document Detail


Migration of ingested foreign bodies into the thyroid gland: literature review and case report.
MedLine Citation:
PMID:  20336919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We review the literature on the migration of ingested foreign bodies into the thyroid gland to analyze trends in patient presentation, evaluation, and management. Additionally, we present a case of an intrathyroidal foreign body from our own experience. METHODS: We searched the Medline database using key words "foreign bodies" and "thyroid gland," and present a new case report of an ingested foreign body that migrated to the thyroid gland. RESULTS: Our search generated 11 relevant articles with 15 total patients. All patients were female; 10 foreign bodies were fish bones, 2 were chicken bones, and 3 were wire bristles. The most common presenting symptoms were throat pain (67%) and dysphagia (47%). Computed tomography was the most sensitive test (100%), although cervical radiography also had high sensitivity (79%). Endoscopy was substantially less sensitive (38%). All patients required neck exploration. CONCLUSIONS: Radiographic evaluation has a high likelihood of detecting foreign bodies in the thyroid gland, and a computed tomographic scan is doubly useful because it assists in preoperative planning. Endoscopy has limited utility in cases of extraluminal migration, but should still be performed to evaluate soft tissue that is poorly visualized on a computed tomographic scan. Unless the foreign body can be removed endoscopically and there are no complications from migration or perforation, the definitive treatment is surgical.
Authors:
Marc H Hohman; Wayne J Harsha; K Linnea Peterson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  119     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-26     Completed Date:  2010-04-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  93-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnosis, Differential
Endoscopy
Esophagus*
Female
Foreign-Body Migration / diagnosis*
Humans
Thyroid Gland*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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