DOI: 10.36347/sjmcr.2014.v02i04.001

Pages: 222-225

After infection, foreign body incidences frequently encountered pathologies in otorhinolaryngology practice. Ingested foreign bodies that migrate extraluminally are rare, but if untreated, result in life threatening complications. Only few references in literature have been found regarding the penetration of foreign bodies through the soft tissues of neck and entering into the airway that manifest themselves in many different ways. Here we present a case of metallic steel piece penetrating through the small entry wound in neck and migrated into the subcutaneous tissue planes of submandibular area, subsequently lodging itself in the right intermediate bronchus and finally was found adherent to the anterior wall of trachea, in an adult male. It was removed atraumatically through bronchoscopy, after performing tracheostomy (to secure the airway first) and the patient recovered well postoperatively. In this case the foreign body travelled a considerable distance through the soft tissue and ended up in an unexpected distant site.