Chronic Foreign Body Ingestion Causing Posterior Mediastinal Mass: A Case Report
Abstract
Posterior mediastinal masses pose challenges for anesthesiologists due to their compressive nature. The most frequently used surgical approach is thoracotomy and anesthesia involves awareness of potential complications and airway management strategies. Among different types of foreign bodies (FBs), the esophageal FBs are one of the most common pediatric emergencies among infants and young children and the proximal part is the most common site. Presentation can range from being asymptomatic to symptoms such as vomiting, dysphagia, and drooling, or respiratory issues like coughing, wheezing, choking, or stridor. In this report, we present a case of a posterior mediastinal mass in a child with a history of respiratory disorders and multiple treatment courses.
[1] Tempe DK, Datt V, Virmani S, Tomar AS, Banarjee A, Goel S, et al. Aspiration of a cystic mediastinal mass as a method of relieving airway compression before definitive surgery. J Cardiothorac Vasc Anesth. 2005;19(6):781-3.
[2] Toda N, Murakami N, Ando T, Kokubo M, Kurosawa S, Kato M. Anesthetic management in two infants undergoing hemilaminectomy for giant mediastinal neuroblastoma. Masui. 2007;56(2):158-62.
[3] Demiroz SM, Sayan M, Celik A. Giant tumors of the posterior mediastinum: a narrative review of surgical treatment. Mediastinum. 2022;6:36.
[4] Bersot CDA, Pires HL, Pereira LFG, Linhares RM, Puntel VM, Quintão VC, et al. Anesthetic management of pediatric patients with large posterior mediastinal tumor–a systematic review and two case reports. Perioper Anesth Rep. 2024;2:0-.
[5] Song P, Josten NJ, Cheng AM. Posterior Mediastinal Mass Resection Requiring Venoarterial and Venovenous Extracorporeal Membrane Oxygenation Support. J Cardiothorac Vasc Anesth. 2022;36(4):1127-31.
[6] Hartigan PM, Karamnov S, Gill RR, Ng J-M, Yacoubian S, Tsukada H, et al. Mediastinal masses, anesthetic interventions, and airway compression in adults: a prospective observational study. Anesthesiology. 2021;136(1):104-14.
[7] Hssaine K, Belhoucha B, Rochdi Y, Nouri H, Aderdour L, Raji A. Foreign bodies in ENT: Ten-year experience. Pan Afr Med J. 2015;21:91-.
[8] Mangussi-Gomes J, Andrade JSCd, Matos RC, Kosugi EM, Penido NdO. ENT foreign bodies: profile of the cases seen at a tertiary hospital emergency care unit. Braz J Otorhinolaryngol. 2013;79:699-703.
[9] Bakhshaee M, Hebrani P, Shams M, Salehi M, Ghaffari A, Rajati M. Psychological status in children with ear and nose foreign body insertion. Int J Pediatr Otorhinolaryngol. 2017;92:103-7.
[10] Iseh K, Yahaya M. Ear foreign bodies: Observations on the clinical profile in Sokoto, Nigeria. Ann Afr Med. 2008;7(1):18-23.
[11] Schuldt T, Großmann W, Weiss NM, Ovari A, Mlynski R, Schraven SP. Aural and nasal foreign bodies in children–Epidemiology and correlation with hyperkinetic disorders, developmental disorders and congenital malformations. Int J Pediatr Otorhinolaryngol. 2019;118:165-9.
[12] Gatto A, Capossela L, Ferretti S, Orlandi M, Pansini V, Curatola A, Chiaretti A. Foreign body ingestion in children: epidemiological, clinical features and outcome in a third level emergency department. Children. 2021;8(12):1182.
[13] Jayachandra S, Eslick GD. A systematic review of paediatric foreign body ingestion: presentation, complications, and management. Int J Pediatr Otorhinolaryngol. 2013;77(3):311-7.
[14] Tadesse A, Feyo A. Management of Ingested Foreign Bodies in Paediatric Patients: An Experience from a Tertiary Hospital in Ethiopia. East Cent Afr J Surg. 2014;19(1):11-6.
[15] Lee JH, Lee JS, Kim MJ, Choe YH. Initial location determines spontaneous passage of foreign bodies from the gastrointestinal tract in children. Pediatr Emerg Care. 2011;27(4):284-9.
[16] Glover P, Westmoreland T, Roy R, Sawaya D, Giles H, Nowicki M. Esophageal diverticulum arising from a prolonged retained esophageal foreign body. J Pediatr Surg. 2013;48(2):e9-e12.
[17] Jatana KR, Litovitz T, Reilly JS, Koltai PJ, Rider G, Jacobs IN. Pediatric button battery injuries: 2013 task force update. Int J Pediatr Otorhinolaryngol. 2013;77(9):1392-9.
[18] Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. Pediatrics. 2010;125(6):1168-77.
[19] Kay M, Wyllie R. Pediatric foreign bodies and their management. Curr Gastroenterol Rep. 2005;7(3):212-8.
[20] Meltzer L. Ileocolic perforation secondary to disk battery ingestion in a dog. J Am Anim Hosp Assoc. 2018;54(5):e545-01.
[21] Miller RS, Willging JP, Rutter MJ, Rookkapan K. Chronic esophageal foreign bodies in pediatric patients: a retrospective review. Int J Pediatr Otorhinolaryngol. 2004;68(3):265-72.
[22] Ekim H. Management of esophageal foreign bodies: A report on 26 patients and literature review. East J Med. 2010;15(1):21.
[23] Doolin EJ. Esophageal stricture: an uncommon complication of foreign bodies. Ann Otol Rhinol Laryngol. 1993;102(11):863-6.
[24] Sannananja B, Shah HU, Badhe PV. Chronic retained esophageal foreign body masquerading as a mediastinal mass. Med J Dr DY Patil Vidyapeeth. 2015;8(3):380-2.
[25] Yahyaoui S, Jahaouat I, Brini I, Sammoud A. Delayed diagnosis of esophageal foreign body: A case report. Int J Surg Case Rep. 2017;36:179-81.
[26] Tashtush NA, Bataineh ZA, Yusef DH, Al Quran TM, Rousan LA, Khasawneh R, et al. Ingested sharp foreign body presented as chronic esophageal stricture and inflammatory mediastinal mass for 113 weeks: Case report. Ann Med Surg (Lond). 2019;45:91-4.
[27] Darweesh M, Kullab S, Mansour MM, Mahfouz R, Obeidat AE. Mediastinal Mass Caused by Granulomatous Reaction to Foreign Plant Material Following a Spontaneous Esophageal Rupture. Cureus. 2022;14(7):e26828.
[28] Kumar P, Sachdeva M, Kumar B. Neglected foreign body in esophagus treated as chest infection: a case report. Egypt J Otolaryngol. 2023;39(1):68.
[2] Toda N, Murakami N, Ando T, Kokubo M, Kurosawa S, Kato M. Anesthetic management in two infants undergoing hemilaminectomy for giant mediastinal neuroblastoma. Masui. 2007;56(2):158-62.
[3] Demiroz SM, Sayan M, Celik A. Giant tumors of the posterior mediastinum: a narrative review of surgical treatment. Mediastinum. 2022;6:36.
[4] Bersot CDA, Pires HL, Pereira LFG, Linhares RM, Puntel VM, Quintão VC, et al. Anesthetic management of pediatric patients with large posterior mediastinal tumor–a systematic review and two case reports. Perioper Anesth Rep. 2024;2:0-.
[5] Song P, Josten NJ, Cheng AM. Posterior Mediastinal Mass Resection Requiring Venoarterial and Venovenous Extracorporeal Membrane Oxygenation Support. J Cardiothorac Vasc Anesth. 2022;36(4):1127-31.
[6] Hartigan PM, Karamnov S, Gill RR, Ng J-M, Yacoubian S, Tsukada H, et al. Mediastinal masses, anesthetic interventions, and airway compression in adults: a prospective observational study. Anesthesiology. 2021;136(1):104-14.
[7] Hssaine K, Belhoucha B, Rochdi Y, Nouri H, Aderdour L, Raji A. Foreign bodies in ENT: Ten-year experience. Pan Afr Med J. 2015;21:91-.
[8] Mangussi-Gomes J, Andrade JSCd, Matos RC, Kosugi EM, Penido NdO. ENT foreign bodies: profile of the cases seen at a tertiary hospital emergency care unit. Braz J Otorhinolaryngol. 2013;79:699-703.
[9] Bakhshaee M, Hebrani P, Shams M, Salehi M, Ghaffari A, Rajati M. Psychological status in children with ear and nose foreign body insertion. Int J Pediatr Otorhinolaryngol. 2017;92:103-7.
[10] Iseh K, Yahaya M. Ear foreign bodies: Observations on the clinical profile in Sokoto, Nigeria. Ann Afr Med. 2008;7(1):18-23.
[11] Schuldt T, Großmann W, Weiss NM, Ovari A, Mlynski R, Schraven SP. Aural and nasal foreign bodies in children–Epidemiology and correlation with hyperkinetic disorders, developmental disorders and congenital malformations. Int J Pediatr Otorhinolaryngol. 2019;118:165-9.
[12] Gatto A, Capossela L, Ferretti S, Orlandi M, Pansini V, Curatola A, Chiaretti A. Foreign body ingestion in children: epidemiological, clinical features and outcome in a third level emergency department. Children. 2021;8(12):1182.
[13] Jayachandra S, Eslick GD. A systematic review of paediatric foreign body ingestion: presentation, complications, and management. Int J Pediatr Otorhinolaryngol. 2013;77(3):311-7.
[14] Tadesse A, Feyo A. Management of Ingested Foreign Bodies in Paediatric Patients: An Experience from a Tertiary Hospital in Ethiopia. East Cent Afr J Surg. 2014;19(1):11-6.
[15] Lee JH, Lee JS, Kim MJ, Choe YH. Initial location determines spontaneous passage of foreign bodies from the gastrointestinal tract in children. Pediatr Emerg Care. 2011;27(4):284-9.
[16] Glover P, Westmoreland T, Roy R, Sawaya D, Giles H, Nowicki M. Esophageal diverticulum arising from a prolonged retained esophageal foreign body. J Pediatr Surg. 2013;48(2):e9-e12.
[17] Jatana KR, Litovitz T, Reilly JS, Koltai PJ, Rider G, Jacobs IN. Pediatric button battery injuries: 2013 task force update. Int J Pediatr Otorhinolaryngol. 2013;77(9):1392-9.
[18] Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. Pediatrics. 2010;125(6):1168-77.
[19] Kay M, Wyllie R. Pediatric foreign bodies and their management. Curr Gastroenterol Rep. 2005;7(3):212-8.
[20] Meltzer L. Ileocolic perforation secondary to disk battery ingestion in a dog. J Am Anim Hosp Assoc. 2018;54(5):e545-01.
[21] Miller RS, Willging JP, Rutter MJ, Rookkapan K. Chronic esophageal foreign bodies in pediatric patients: a retrospective review. Int J Pediatr Otorhinolaryngol. 2004;68(3):265-72.
[22] Ekim H. Management of esophageal foreign bodies: A report on 26 patients and literature review. East J Med. 2010;15(1):21.
[23] Doolin EJ. Esophageal stricture: an uncommon complication of foreign bodies. Ann Otol Rhinol Laryngol. 1993;102(11):863-6.
[24] Sannananja B, Shah HU, Badhe PV. Chronic retained esophageal foreign body masquerading as a mediastinal mass. Med J Dr DY Patil Vidyapeeth. 2015;8(3):380-2.
[25] Yahyaoui S, Jahaouat I, Brini I, Sammoud A. Delayed diagnosis of esophageal foreign body: A case report. Int J Surg Case Rep. 2017;36:179-81.
[26] Tashtush NA, Bataineh ZA, Yusef DH, Al Quran TM, Rousan LA, Khasawneh R, et al. Ingested sharp foreign body presented as chronic esophageal stricture and inflammatory mediastinal mass for 113 weeks: Case report. Ann Med Surg (Lond). 2019;45:91-4.
[27] Darweesh M, Kullab S, Mansour MM, Mahfouz R, Obeidat AE. Mediastinal Mass Caused by Granulomatous Reaction to Foreign Plant Material Following a Spontaneous Esophageal Rupture. Cureus. 2022;14(7):e26828.
[28] Kumar P, Sachdeva M, Kumar B. Neglected foreign body in esophagus treated as chest infection: a case report. Egypt J Otolaryngol. 2023;39(1):68.
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| Issue | Article in Press |
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| Section | Case Report(s) | |
| Keywords | ||
| Posterior mediastinal mass Foreign body Pediatrics Anesthesia Thoracotomy | ||
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How to Cite
1.
Mahdavi N, Ghoroubi J, Mahdavi AR, Pourakbari S, Mortazavi M. Chronic Foreign Body Ingestion Causing Posterior Mediastinal Mass: A Case Report. Arch Anesth & Crit Care. 2025;.
