Summary: The foreign bodies of the esophagus remain a real challenge because of their frequency and the cost of treatment. We report the case of an unusual esophageal foreign body (hook for mosquito net) by accidental ingestion in a three-year-old child that occurred during a game. At admission, the symptoms were composed of: dysphagia, odynophagia, hematemesis. We had put the patient on antibiotic therapy and analgesic after the extraction by esophagoscopy with a rigid tube. The evolution was favorable in our observation after the extraction of the foreign body. Conclusion: Hooks for mosquito nets are particular foreign bodies that must be removed urgently. Rigid tube esophagoscopy under general anesthesia remains the most frequently used means for the extraction of the foreign body with less risk of complications. The best treatment remains prevention.
References
[1]
Raoul, I.F., Christiane, S. and Köhler, H. (2016) Ingestion of Foreign Bodies in Children and Adolescents. Pediatrics, 27, 4.
[2]
Laugel, V., Beladdale, J., Escande, B. and Simeoni, U. (1999) L’ingestion accidentelle de pile-bouton. ArchivesdePédiatrie, 6, 1231-1235. https://doi.org/10.1016/s0929-693x(00)86309-5
[3]
Doumbia-Singare, K., Timbo, S.K., Keita, M., Togola-Konipo, F., et al. (2011) Foreign Bodies of the Esophagus in Adults: About 26 Cases. MedicalMali, 26, 1-4.
[4]
Reilly, J., Thompson, J., MacArthur, C., Pransky, S., Beste, D., Smith, M., et al. (1997) Pediatric Aerodigestive Foreign Body Injuries Are Complications Related to Timeliness of Diagnosis. TheLaryngoscope, 107, 17-20. https://doi.org/10.1097/00005537-199701000-00006
[5]
Chowdhury, C.R., Bricknell, M.C.M. and MacIver, D. (1992) Oesophageal Foreign Body: An Unusual Cause of Respiratory Symptoms in a Three-Week-Old Baby. TheJournalofLaryngology&Otology, 106, 556-557. https://doi.org/10.1017/s0022215100120134
[6]
Togo, S., Ouattara, M.A., Li, X., Yang, S.W. and Koumaré, S. (2017) Prise en charge des corps étrangers enclaves de l’œsophage: À propos de 36 cas. PanAfricanMedicalJournal, 27, Article No. 207. https://doi.org/10.11604/pamj.2017.27.207.7463
[7]
Nadège, S. and Gwenaëlle, G. (2018) Pediatric Vital Emergencies in a Specialized Environment: Foreign Bodies. SFAR—The Vital Emergency Days Congress.
[8]
Antoine, L., Clément, D., Antoine, S., Pierre, P., Romain, G. and Pierre-François, W. (2018) Management of Foreign Bodies of the Upper Third of the Esophagus without an Endoscope: A Challenge for the Doctor in an Isolated Situation? Pan African Medical Journal, 30, Article No. 42.
[9]
Coulibaly, K. (2012) Hospital Morbidity of ENT Emergencies: Analysis of 6 Months of Activity at the Gabriel Toure University Hospital. Bamako Medical Thesis-Mali.
[10]
Hounkpatin, S.H.R., Adedemy, J.D., Avakoudjo, F., Lawson Afouda, S., Agossou, J., Noudamadjo, A., et al. (2012) Pediatric ENT Emergencies at the Department of Borgou Hospital Center in Parakou. Benin, 17, No. 3-2012.