Title: Huge Oesophageal Cow Bone in the Elderly: A Case Report
Authors: Dr Nwogbo AC, Dr Uyanwanne SN
DOI: https://dx.doi.org/10.18535/jmscr/v11i1.11
Abstract
Introduction
Foreign body impaction in the oesophagus is a common presentation in children unlike in the elderly in our environment. Ingestion of foreign body in adults was found in special groups of population such as psychiatric patients, prisoners, elderly and alcoholics1. Most ingested foreign bodies become impacted often in the oesophagus2. Oesophageal foreign body could be classified into organic and inorganic. Organic foreign bodies in the aged include meat, food bolus and bone while the inorganic are dentures, medicine, medicine packing etc. The bone could be from fish, chicken, cow and so on. The type of foreign body in the oesophagus differs between the paediatrics and adult group. In adults, it is often caused by meat, bones, denture and medicine packing3. Meat bolus was the only impacted foreign body in the oesophagus seen in ages between 70-90 years4.
Elderlies are prone to foreign body ingestion due to the reduced intraoral sensitivity, impairment of swallowing coordination, visual problem and poor dentition5. Neurodegenerative disease requiring cervical spine fixation has been reported as a risk factor for foreign body ingestion among 65 years and above6. Denture usage which reduces intraoral sensation and edentulous has also been cited7.
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