title: Vertebral artery dissection due to an esophageal foreign body migration: a case report.
abstract: Unintentional foreign bodies' swallowing is a fairly common occurrence in ENT consultation especially among children. They usually pass through the gastrointestinal tract without complications. Migration of a foreign body through the esophageal wall is rare. It represents about 1% to 4% of all cases of foreign bodies' ingestion. A 16 year's old female patient has presented to ENT emergency with a painful dysphagia following an accidental ingestion of a metallic pin. Cervical X ray confirmed the presence of the pin while endoscopic investigations have shown no foreign body. Cervical CT scan revealed the migration of the foreign body through the esophageal wall with left vertebral artery dissection. Endoscopic management has been sufficient with an uneventful post operative follow up. Esophageal foreign bodies are very diverse mainly dominated by fish bones (60%) and chicken bones (16%). Metallic pins are rare. The major risks of migration of those foreign bodies are cervical abscess, mediastinitis and oeso-vascular fistulae. Cases of self extrusion through the skin have been reported. Migration of a foreign body through the esophageal wall is rare. Endoscopic management has been sufficient.
authors.affiliation: ENT Head and Neck Surgery Department, Hassan II University Hospital, Fez, Morocco ; Sidi Mohammed Benabdellah University, Fez, Morocco.
authors.forename: Najib
authors.initials: N
authors.lastname: Benmansour
authors.affiliation: ENT Head and Neck Surgery Department, Hassan II University Hospital, Fez, Morocco ; Sidi Mohammed Benabdellah University, Fez, Morocco.
authors.forename: Naouar
authors.initials: N
authors.lastname: Ouattassi
authors.affiliation: ENT Head and Neck Surgery Department, Hassan II University Hospital, Fez, Morocco ; Sidi Mohammed Benabdellah University, Fez, Morocco.
authors.forename: Amine
authors.initials: A
authors.lastname: Benmlih
authors.affiliation: ENT Head and Neck Surgery Department, Hassan II University Hospital, Fez, Morocco ; Sidi Mohammed Benabdellah University, Fez, Morocco.
authors.forename: Mohamed Noureddine
authors.initials: MN
authors.lastname: Elalami
mesh_terms: D000293:Adolescent; D004947:Esophagus / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D005260:Female; D005547:Foreign Bodies / Q000601:surgery; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008670:Metals; D020217:Vertebral Artery Dissection / Q000175:diagnosis / Q000209:etiology*
chemical_list: D008670:Metals
keywords: Surgery; Vertebral artery; dissection; foreign body