An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction
Foreign body impaction (FBI) in the esophagus has the potential to be a serious condition with a high mortality rate. Although the majority of foreign bodies trapped within the esophagus pass spontaneously, some do require endoscopic intervention. This case discusses a 95-year-old-female with a hist...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2019-08-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/8958x1w6 |
| _version_ | 1818313898116251648 |
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| author | Ryan McCreery Matthew Meigh |
| author_facet | Ryan McCreery Matthew Meigh |
| author_sort | Ryan McCreery |
| collection | DOAJ |
| description | Foreign body impaction (FBI) in the esophagus has the potential to be a serious condition with a high mortality rate. Although the majority of foreign bodies trapped within the esophagus pass spontaneously, some do require endoscopic intervention. This case discusses a 95-year-old-female with a history of cerebral vascular accident who presented with acute onset respiratory distress with inspiratory stridor. The patient denied any episodes of choking or foreign body sensation. Further imaging revealed a large food bolus within the esophagus with extensive tracheal narrowing. The patient was diagnosed promptly and successfully managed endoscopically. This case presentation emphasizes the need to maintain a high index of clinical suspicion for FBI in high-risk populations, especially when the patient’s history makes it unlikely. In the setting of respiratory complications, airway protection remains a priority, but an accurate diagnosis with timely intervention is paramount. |
| first_indexed | 2024-12-13T08:41:03Z |
| format | Article |
| id | doaj.art-a432d16d665e418a82bbd79d30dcabc2 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-12-13T08:41:03Z |
| publishDate | 2019-08-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-a432d16d665e418a82bbd79d30dcabc22022-12-21T23:53:32ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-08-013310.5811/cpcem.2019.5.43027cpcem-3-314An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food ImpactionRyan McCreery0Matthew Meigh1Orange Regional Medical Center, Department of Emergency Medicine, Middletown, New YorkOrange Regional Medical Center, Department of Emergency Medicine, Middletown, New YorkForeign body impaction (FBI) in the esophagus has the potential to be a serious condition with a high mortality rate. Although the majority of foreign bodies trapped within the esophagus pass spontaneously, some do require endoscopic intervention. This case discusses a 95-year-old-female with a history of cerebral vascular accident who presented with acute onset respiratory distress with inspiratory stridor. The patient denied any episodes of choking or foreign body sensation. Further imaging revealed a large food bolus within the esophagus with extensive tracheal narrowing. The patient was diagnosed promptly and successfully managed endoscopically. This case presentation emphasizes the need to maintain a high index of clinical suspicion for FBI in high-risk populations, especially when the patient’s history makes it unlikely. In the setting of respiratory complications, airway protection remains a priority, but an accurate diagnosis with timely intervention is paramount.https://escholarship.org/uc/item/8958x1w6 |
| spellingShingle | Ryan McCreery Matthew Meigh An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction Clinical Practice and Cases in Emergency Medicine |
| title | An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction |
| title_full | An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction |
| title_fullStr | An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction |
| title_full_unstemmed | An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction |
| title_short | An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction |
| title_sort | unusual case of stridor severe tracheal narrowing secondary to esophageal food impaction |
| url | https://escholarship.org/uc/item/8958x1w6 |
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