Superior thyroid artery injury following foreign body ingestion in an intellectually disabled patient: A case report

This case report highlights complexities in an intellectually disabled adult who ingested a chicken bone, resulting in a rare complication—superior thyroid artery injury. Presentation, diagnostic challenges, and a multidisciplinary approach are detailed. Initial attempts at esophagoscopy under gener...

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Bibliographic Details
Main Authors: D A Dharun Jims, Suryanarayanan Soundrarajan, Mekala RanjithKumar, Muthapillai Senthilnathan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-10-01
Series:Saudi Journal of Anaesthesia
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Online Access:https://journals.lww.com/10.4103/sja.sja_234_24
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Summary:This case report highlights complexities in an intellectually disabled adult who ingested a chicken bone, resulting in a rare complication—superior thyroid artery injury. Presentation, diagnostic challenges, and a multidisciplinary approach are detailed. Initial attempts at esophagoscopy under general anesthesia were hindered by blood coughing, leading to a change of plan. Subsequent findings revealed mucosal edema and continuous bleeding from the site. Challenges in anesthetizing intellectually disabled individuals are emphasized, stressing tailored induction methods. The case concluded with successful embolization but developed neurological complication which was successfully managed showcasing the significance of a collaborative and adaptable approach.
ISSN:1658-354X
0975-3125