Vascular embolization as an adjunct to surgical removal of percutaneously inserted foreign bodies in the pharynx to avoid the risk of massive bleeding: a case report - Report - MDSpire
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Vascular embolization as an adjunct to surgical removal of percutaneously inserted foreign bodies in the pharynx to avoid the risk of massive bleeding: a case report
Clinical Report: Utilizing Vascular Embolization for Pharyngeal Foreign Bodies
Overview
This case study demonstrates the successful use of preoperative vascular embolization to mitigate hemorrhage risk during the surgical extraction of a bamboo chopstick from the parapharyngeal space. The approach resulted in minimal intraoperative blood loss and a complication-free recovery.
Background
Percutaneous penetrating foreign bodies in the pharynx, particularly those associated with arterial injury, are rare but can lead to life-threatening hemorrhage. Traditional surgical removal poses significant risks due to the deep anatomical location and potential for massive bleeding. The integration of endovascular techniques, such as embolization, may enhance surgical safety in these complex cases.
Data Highlights
No numerical data or trial data available in the article.
Key Findings
A 32-year-old male presented with a bamboo chopstick lodged in the left parapharyngeal space, leading to recurrent hematemesis.
Preoperative endovascular embolization of the left maxillary artery was performed to control bleeding risk.
Angiography confirmed active bleeding from the maxillary artery prior to embolization.
The surgical removal of the foreign body resulted in minimal blood loss (approximately 5 mL).
The patient had a complication-free recovery following the combined approach of embolization and surgery.
Clinical Implications
The findings suggest that preoperative embolization can be a valuable strategy in managing penetrating pharyngeal foreign bodies with suspected vascular injury. This approach may significantly reduce intraoperative bleeding and enhance overall surgical safety.
Conclusion
The successful application of vascular embolization in this case highlights its potential role in the management of penetrating foreign bodies in the pharynx, particularly when arterial injury is suspected.
