Pharyngeal Intra-Mural Foreign Body in a Magician

Abstract

IntroductionVarious forms of foreign bodies in the upper aero-digestive tract are found in the otorhinolarygological practice  Majority are found in children and some  in adults and mentally deranged individuals. Foreign bodies are usually intra-luminal but sharp FB can be found extra-luminally. This could be inserted accidentally or intentionally as in this index case.Case PresentationWe present a case of a 25yr old magician/driver with a pharyngeal intramural radio-opaque foreign body inserted intentionally during his magic art 7 days prior to presentation. EUA and removal was undertaken under GA uneventfully and patient was discharged two days after the procedure.ConclusionThough Pharyngeal extra-luminal foreign bodies are quite uncommon, presentation with odynophagia, dysphagia and neck stiffness without features of airway compromise is suspicious of extra-luminal FB.  Early presentation and removal of the foreign body is essential to prevent complications.

Keywords: Pharyngeal, Intra-mural, foreign body, magician.