{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:52:27Z","timestamp":1726505547521},"reference-count":3,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2019,7,22]],"date-time":"2019-07-22T00:00:00Z","timestamp":1563753600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Foreign body impaction (FBI) in the esophagus has the potential to be a serious condition with a high mortality rate. Although the majority of foreign bodies trapped within the esophagus pass spontaneously, some do require endoscopic intervention. This case discusses a 95-year-old-female with a history of cerebral vascular accident who presented with acute onset respiratory distress with inspiratory stridor. The patient denied any episodes of choking or foreign body sensation. Further imaging revealed a large food bolus within the esophagus with extensive tracheal narrowing. The patient was diagnosed promptly and successfully managed endoscopically. This case presentation emphasizes the need to maintain a high index of clinical suspicion for FBI in high-risk populations, especially when the patient\u2019s history makes it unlikely. In the setting of respiratory complications, airway protection remains a priority, but an accurate diagnosis with timely intervention is paramount.<\/jats:p>","DOI":"10.5811\/cpcem.2019.5.43027","type":"journal-article","created":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T01:32:58Z","timestamp":1564623178000},"page":"314-315","source":"Crossref","is-referenced-by-count":0,"title":["An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction"],"prefix":"10.5811","volume":"3","author":[{"given":"Ryan","family":"McCreery","sequence":"first","affiliation":[{"name":"Orange Regional Medical Center, Department of Emergency Medicine, Middletown, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Meigh","sequence":"additional","affiliation":[{"name":"New York Colleges Osteopathic Medicine Educational Consortium, Department of Emergency Medicine, Middletown, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2019,7,22]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Heger P, Weber TF, Rehm J, et al. Cervical esophagotomy for foreign body extraction: case report and comprehensive review of the literature.\u00a0Ann Med Surg (Lond).\u00a02016;7:87\u201391.","DOI":"10.1016\/j.amsu.2016.04.001"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Loh KS, Tan LK, Smith JD, et al. Complications of foreign bodies in the esophagus.\u00a0Otolaryngol Head Neck Surg.\u00a02000;123(5):613-6.","DOI":"10.1067\/mhn.2000.110616"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Muthucumaru M and Clarnette T. Oesophageal foreign body causing stridor in an infant: Is a rare forgotten cause.\u00a0J Pediatr Surg Case Rep.\u00a02014;2(6):284-6.","DOI":"10.1016\/j.epsc.2014.05.012"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T23:58:27Z","timestamp":1573171107000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/8958x1w6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,22]]},"references-count":3,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,7,30]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2019.5.43027","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2019,7,22]]}}}