Case Report
 
Hypopharyngeal non-penetrating steel shrapnel foreign body: A case report of unusual route of impaction
Ahmad Nasrat Al-juboori1, Abdalla Mirghani Hamid2
1FICMS, EBE ORL-HNS, ENT Specialist, department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar
2FRCS, ENT Senior Consultant, Al Wakra Hospital, Hamad Medical Corporation, Qatar


Article ID: Z01201705CR10792AA
doi:10.5348/ijcri-201753-CR-10792

Address correspondence to:
Ahmad Nasrat Al-juboori
ENT Specialist, department of Surgery
Al Wakra Hospital, Hamad Medical Corporation, P.O. Box 28882
Adjunct Assistant Professor Weil Cornell Medicine-Qatar
Doha, Qatar

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How to cite this article
Al-juboori AN, Hamid AM. Hypopharyngeal non-penetrating steel shrapnel foreign body: A case report of unusual route of impaction. Int J Case Rep Images 2017;8(5):313–316.


ABSTRACT
Introduction: Foreign body injury is one of the most commonly encountered otorhinolaryngologic emergencies. The diagnosis and management of foreign bodies have mainly been based on the type and location of the foreign body. The workplace is a significant contributor to fatal and non-fatal injuries worldwide and an insufficiently appreciated contributor to the total burden of health care costs. Steel workers sustain a higher occupational hazard of penetrating injuries anywhere in the body, including the head and neck. However, we found no reports in literature about non-penetrating shrapnel foreign body injuries, particularly in the upper aero-digestive tract.
Case series: A steelworker presented to the emergency department in Al Wakra hospital with a history of non-penetrating steel foreign body impaction in the throat which had been visualized by GlideScope and removed successfully with the assistance of Macintosh laryngoscope without complications. The purpose of this presentation is to highlight the unusual route taken by a shrapnel non-penetrating foreign body, through the open mouth to the hypopharynx.
Conclusion:We concluded that this report could be regarded as the first case report of a non-penetrating steel foreign body with an unusual per oral route of impaction in the hypopharynx. It, also, highlighted its visualization and a comparison between two techniques of its extraction.

Keywords: Foreign body throat, Glide video laryngoscope, Hypopharynx




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Acknowledgements
We would like to thank all theater staff in AlWakra hospital for their help and support.

Author Contributions
Ahmad Nasrat Al-juboori – Substantial contribution to conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content; Final approval of the version to be published
Abdalla Mirghani Hamid – Substantial contribution to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Ahmad Nasrat Al-juboori et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.