creators_name: Singhal, SK creators_name: Arora, V creators_name: Dass, A creators_id: singhalsks@yahoo.com editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2010-09-13 03:52:33 lastmod: 2011-03-11 08:57:43 metadata_visibility: show title: An unusual foreign body of esophagus ispublished: pub subjects: OJHAS full_text_status: public keywords: Foreign body, Esophagus, Neem stick abstract: We report a rare case of an unusually long foreign body (Datun) impacted in the esophagus of a 56 year-old gentleman. He was literate, without any psychiatric illness and had been using “Neem” (Azadirachta indica) stick for cleaning his teeth for the past twenty years. Neem sticks are used for brushing teeth, perhaps one of the earliest and very effective dental care. On closer questioning he revealed his habit of passing the Neem stick into his throat with the aim of cleaning it too while cleaning his teeth. He presented to our emergency early in the morning with this strange long foreign body impacted in his esophagus which was removed successfully using a Jackson’s adult rigid oesophagoscope. We believe this to be the first case of such an unusually long foreign body to be reported in the literature. date: 2010-07-30 date_type: published publication: Online Journal of Health and Allied Sciences volume: 9 number: 1 publisher: Dr. B.S. Kakkilaya refereed: TRUE referencetext: 1. Taylor RB. Esophageal foreign bodies. Emerg Med Clinic North Am 1987;5(2):301-311 2. Mosca S, Manes G, Martino R et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients. Endoscopy 2001 Aug;33(8):692- 6. 3. Marco D, Lucas E, Sadaba P, Lastra Garcia Baron P, Ruiz-Delgado ML, Gonzalez Sanchez F, Ortiz F, Pagola MA. Value of helical computerized tomography in the management of upper esophageal foreign bodies. Acta Radiol 2004;45(4):369-374 4. Khan MA, Hameed A, Choudhry AJ. Management of foreign bodies in the esophagus. Journal of College of Physicians and Surgeons of Pakistan 2004 Apr;14(4):218-20. 5. Braverman I, Gomori JM, Polv O, Saah D. The role of CT imaging in the evaluation of cervical esophageal foreign bodies. J Otolaryngo 1993 Aug:22(4):311-14 6. Sittitrai P, Pattarasakulchai T et al. Esophageal foreign bodies. Journal of Medical Association of Thailand 2000 Dec;83(12):1514-18 citation: Singhal, SK and Arora, V and Dass, A (2010) An unusual foreign body of esophagus. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/7000/1/2010-1-14.pdf