Unusual Case of Foreign Body Esophagus Presenting With Acute Kidney Injury: Case Report and Literature Review

Abstract

Foreign bodies in esophagus are more common in children, elderly and psychiatry patients. Different types of foreign bodies can get impacted in esophagus, such as coins, bone pieces and meat bolus. Approximately 80% of foreign bodies are said to pass spontaneously without any intervention. Emergent endoscopic retrieval or rigid esophagoscopy are the treatment of choice. Delayed diagnosis can lead to respiratory failure, sepsis or hemorrhage. Nevertheless, esophageal foreign bodies are no more matter of serious concerns to the surgeons in terms of early diagnosis and management given the advancement in the diagnostic tools. Eventually delayed management and complications due to prolonged foreign body impaction are less in the picture nowadays. Here we present a typical case of foreign body esophagus that presented with acute kidney injury which was delayed to reach help due to various factors, such as poor economic background of the patient, poor access to health service and prevalence of social beliefs. Cases of complications like respiratory failure, sepsis, mediastinitis and hemorrhage have been reported very frequently, but cases presenting with acute kidney injury seem to be reported very less in literature. Thus, we believe that this case will add acute kidney injury to another possible complication of delayed foreign body esophagus.




World J Nephrol Urol. 2018;7(3-4):78-81
doi: https://doi.org/10.14740/wjnu366