Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body

Background and Aim. Rare-earth magnet ingestions are a subset of foreign body ingestions and can result in significant morbidity secondary to pressure necrosis. These magnets are best visualized radiographically, typically located in the gastrointestinal tract. However, unusual locations of magnetic...

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Main Authors: Yeli Pi, Shilpa Radhakrishnan, Yaser Alrajhi, Ravi Bhargava
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2020/3245634
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author Yeli Pi
Shilpa Radhakrishnan
Yaser Alrajhi
Ravi Bhargava
author_facet Yeli Pi
Shilpa Radhakrishnan
Yaser Alrajhi
Ravi Bhargava
author_sort Yeli Pi
collection DOAJ
description Background and Aim. Rare-earth magnet ingestions are a subset of foreign body ingestions and can result in significant morbidity secondary to pressure necrosis. These magnets are best visualized radiographically, typically located in the gastrointestinal tract. However, unusual locations of magnetic adherence may include the hypopharynx along the epiglottis, where only 2 previous cases have been reported. Clinicians should be aware of the potential dangers of rare-earth magnet ingestion and consider atypical locations of attachment in the appropriate clinical setting. Case Presentation. We present an interesting case of a fourteen-year-old female patient who presents with witnessed ingestion of multiple rare-earth magnets. Soft-tissue neck radiographs demonstrate two adjacent rounded radiopaque densities in the hypopharynx. Intraoperative images confirmed the radiographic findings and identified two magnetic balls stuck along the dorsal and ventral aspect of the epiglottis without evidence of pressure necrosis. Conclusion. This is the first published case of magnetic foreign body adherence to the epiglottis in the Radiology literature. Awareness and recognition of the unique radiographic findings of this rare entity can help clinicians streamline timely management.
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institution Kabale University
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spelling doaj-art-4f9b267b672a43d88fdd8e225d0943d92025-02-03T06:43:40ZengWileyCase Reports in Radiology2090-68622090-68702020-01-01202010.1155/2020/32456343245634Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign BodyYeli Pi0Shilpa Radhakrishnan1Yaser Alrajhi2Ravi Bhargava3Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, CanadaDepartment of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, CanadaDepartment of Otolaryngology Head and Neck Surgery, University of Alberta, Edmonton, Alberta, CanadaDepartment of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, CanadaBackground and Aim. Rare-earth magnet ingestions are a subset of foreign body ingestions and can result in significant morbidity secondary to pressure necrosis. These magnets are best visualized radiographically, typically located in the gastrointestinal tract. However, unusual locations of magnetic adherence may include the hypopharynx along the epiglottis, where only 2 previous cases have been reported. Clinicians should be aware of the potential dangers of rare-earth magnet ingestion and consider atypical locations of attachment in the appropriate clinical setting. Case Presentation. We present an interesting case of a fourteen-year-old female patient who presents with witnessed ingestion of multiple rare-earth magnets. Soft-tissue neck radiographs demonstrate two adjacent rounded radiopaque densities in the hypopharynx. Intraoperative images confirmed the radiographic findings and identified two magnetic balls stuck along the dorsal and ventral aspect of the epiglottis without evidence of pressure necrosis. Conclusion. This is the first published case of magnetic foreign body adherence to the epiglottis in the Radiology literature. Awareness and recognition of the unique radiographic findings of this rare entity can help clinicians streamline timely management.http://dx.doi.org/10.1155/2020/3245634
spellingShingle Yeli Pi
Shilpa Radhakrishnan
Yaser Alrajhi
Ravi Bhargava
Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body
Case Reports in Radiology
title Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body
title_full Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body
title_fullStr Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body
title_full_unstemmed Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body
title_short Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body
title_sort magnetic apposition across the epiglottis radiographic and operative correlation of a rare hypopharyngeal foreign body
url http://dx.doi.org/10.1155/2020/3245634
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AT yaseralrajhi magneticappositionacrosstheepiglottisradiographicandoperativecorrelationofararehypopharyngealforeignbody
AT ravibhargava magneticappositionacrosstheepiglottisradiographicandoperativecorrelationofararehypopharyngealforeignbody