EC Clinical and Medical Case Reports

Foreign body ingestion is a common occurrence in clinical practice, affecting individuals across various age groups, with elderly individuals, prisoners, alcoholics, and those with mental health challenges being particularly vulnerable [1,2]. Most ingested foreign bodies pass through the gastrointestinal tract without complications or are successfully removed via endoscopy. However, in less than 1% of cases, sharp and solid foreign bodies can lead to serious complications, including esophageal and bowel perforations [3].

 Keywords: Blister-Wrapped Tablet; Press Through Package; Esophagus; Esophageal Perforation; PTP; Ingestion

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2. Wiedbrauck D., et al. “Covered gastric perforation due to Blister-Wrapped tablet ingestion - mental health matters”. American Journal of Geriatric Psychiatry10 (2022): 1154-1156.
3. Yao S., et al. “An unusual case of duodenal perforation caused by a blister pack: A case report and literature review”. International Journal of Surgery Case Reports 14 (2015): 129-132.
4. Peng A., et al. “Study of clinical treatment of esophageal foreign body-induced esophageal perforation with lethal complications”. European Archives of Oto-Rhino-Laryngology 9 (2012): 2027-2036.
5. Zimmermann M., et al. “Predictors of morbidity and mortality in esophageal perforation: retrospective study of 80 patients”. Scandinavian Journal of Surgery 2 (2017): 126-132.
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9. Tzur M., et al. “Esophageal impaction caused by a blister-wrapped tablet: Case report and review of the literature”. European Geriatric Medicine2 (2016): 190-193.
10. Zhu YZ., et al. “Blister pack ingestion in an elderly patient with a communication barrier: a case report”. Cureus 6 (2023): e40968.
11. Sakakura A., et al. “Clinical study of esophageal foreign bodies attributable to PTP material”. Auris Nasus Larynx 4 (1997): 411-416.
12. Gelfand MD and Durning Jr RB. “Esophageal dysphagia from ingestion of foil packaging of tablet”. Annals of Internal Medicine 6 (1978): 940.
13. Yip LW., et al. “"I’ve got a UFO stuck in my throat!” - an interesting case of foreign body impaction in the oesophagus”. Singapore Medical Journal 3 (1998): 121-123.
14. Dutta U., et al. “Blister pack ingestion resulting in esophago-pleural fistula”. Indian Journal of Gastroenterology 2 (2001): 79-80.
15. Sudo T., et al. “Esophageal perforation caused by a press through pack”. Diseases of the Esophagus 2 (2003): 169-172.
16. Hou SK., et al. “Press through package mis-swallowing”. International Journal of Clinical Practice2 (2006): 234-237.
17. Seo YS., et al. “Removal of press-through packs impacted in the upper esophagus using an overtube”. World Journal of Gastroenterology 36 (2006): 5909-5912.
18. Khan AS., et al. “Dysphagia due to blister pack pill in elderly: a rare entity”. Bombay Hospital Journal 49 (2007): 1-3.
19. Lee KI and Wang CP. “Images in emergency medicine. Press-through package mis-swallowing”. Annals of Emergency Medicine2 (2008): 98.
20. Sarwar S and Khan AA. “An unusual foreign body in esophagus: tablet with its press through package (PTP)”. Journal of College of Physicians and Surgeons Pakistan2 (2012): 131-132.
21. Hovde Ø., et al. “Iatrogenic esophago-tracheal fistula: challenges in diagnosis and management”. World Journal of Gastroenterology 4 (2013): 594-596.
22. Coulier B., et al. “Perforation of the gastrointestinal tract caused by inadvertent ingestion of blister pill packs: report of two cases diagnosed by MDCT with emphasis on maximal intensity and volume rendering reformations”. Abdominal Imaging 4 (2014): 685-693.
23. Clayton Steven SC. “Esophageal perforation after ingestion of a blister pack: a tough diagnosis to swallow”. American Journal of Gastroenterology 112 (2017): S904-S905.