Shi Nee T1, Gopalan KN2 and Primuharsa Putra SHA3*
1KPJ Healthcare University College, Nilai, Negeri Sembilan, Malaysia
2Ear, Nose and Throat-Head & Neck Consultant Clinic, Lam Wah Ee Hospital, Penang, Malaysia
3Ear, Nose and Throat-Head & Neck Consultant Clinic, KPJ Seremban Specialist Hospital/ KPJ Healthcare University College, Negeri Sembilan, Malaysia
Received: 13 July, 2017; Accepted: 22 August, 2017; Published: 23 August, 2017
Primuharsa Putra Sabir Husin Athar, Ear, Nose and Throat-Head & Neck Consultant Clinic, KPJ Seremban Specialist Hospital, Jalan Toman 1, Kemayan Square, 70200 Seremban, Negeri Sembilan, Malaysia, Tel No: 06-7677800; Fax: 06-7675900; E-mail:
Shi Nee T, Gopalan KN, Primuharsa Putra SHA (2017) An extraordinary case of a hungry man: an unusual foreign body - A Case Report. Arch Otolaryngol Rhinol 3(3): 093-094. DOI: 10.17352/2455-1759.000055
© 2017 Shi Nee T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Foreign body throat; Spoon
This case reports a rare case of accidental metal spoon swallowed by a normal adult which was successfully removed without complication under local anesthesia using a McGill forceps via laryngoscope. Aerodigestive foreign bodies are almost always managed by the otolaryngologist. This is the rarest foreign body of the metal spoon being swallowed by a normal adult by accident. Early removal is mandatory as this may lead to devastating complications.
Otolaryngologists always dealt with foreign bodies of the upper aerodigestive tract which may pose major challenges in both the diagnosis and management. Commonly, foreign bodies are seen in young children [1,2] or patients with mental illness , intellectual impairment, and prisoners . However, in some circumstances, it can be seen in older children and adult. When this occurs, it is usually of the accidental cause. In an adult, the typical foreign bodies which were reported are fish bone , denture or part of the dentures 6], sewing needle , pill capsule , toothbrush [9,10] and others have been reported.
Intervention in removal is rarely needed as most of the ingested materials easily pass through gastrointestinal tract spontaneously . Unfortunately, the metal spoon is a rare pharyngeal foreign body and due to its size and shape, it cannot goes through the gastrointestinal tract spontaneously. According to the PubMed search, there is no reported case of such foreign body. We report the first extraordinary case of a normal hungry man who accidentally ingested a metal spoon.
A 57-year- old Chinese gentleman presented to us with a history of accidentally swallowing a spoon whilst having his lunch. He ate his lunch in a hurry and in his haste his fingers slipped and he swallowed the spoon he has been scooping the rice with. He had severe discomfort of the throat but no difficulty in breathing. He was seen in the accident & emergency department where he was attended to.
On examination he was comfortable. He still able to talk and no difficulty in breathing. He had slight drooling of saliva. Throat examination using tongue depressor at accident and emergency room revealed the tip of spoon in the oropharynx.
Lateral neck X-Ray (Figure 1), revealed the spoon in the posterior pharynx in a vertical position with the broad base at the cricopharynx.
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