Presentation
A psychotic patient presented with mouth bleeding and the nurse says that the patient had ingested something
Patient Data
Age: 30 years
Gender: Male
From the case:
Foreign body in esophagus - razor blade
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There is a radiopaque density (razor blade) at level ~T3-T4 in the esophagus.
Fortunately there are no signs of pneumothorax or pneumomediastinum.
Case Discussion
Esophageal foreign body impaction in an adult is usually caused by an excessive bolus of food or from impaction of an ingested bone. Bones mostly lodge in the pharynx near the cricopharyngeus.
Ingestion of a razor blade, as in this case, in an adult is rare.
Plain radiography, barium study, and CT are useful for evaluation of an esophageal foreign body.