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{
    "pk": 701,
    "title": "An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction",
    "subtitle": null,
    "abstract": "Foreign body impaction (FBI) in the esophagus has the potential to be a serious condition with a high mortality rate. Although the majority of foreign bodies trapped within the esophagus pass spontaneously, some do require endoscopic intervention. This case discusses a 95-year-old-female with a history of cerebral vascular accident who presented with acute onset respiratory distress with inspiratory stridor. The patient denied any episodes of choking or foreign body sensation. Further imaging revealed a large food bolus within the esophagus with extensive tracheal narrowing. The patient was diagnosed promptly and successfully managed endoscopically. This case presentation emphasizes the need to maintain a high index of clinical suspicion for FBI in high-risk populations, especially when the patient’s history makes it unlikely. In the setting of respiratory complications, airway protection remains a priority, but an accurate diagnosis with timely intervention is paramount.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8958x1w6",
    "frozenauthors": [
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "McCreery",
            "name_suffix": "",
            "institution": "Orange Regional Medical Center, Department of Emergency Medicine, Middletown, New York; New York Colleges Osteopathic Medicine Educational Consortium, Department of Emergency Medicine, Middletown, New York",
            "department": "None"
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Meigh",
            "name_suffix": "",
            "institution": "Orange Regional Medical Center, Department of Emergency Medicine, Middletown, New York; New York Colleges Osteopathic Medicine Educational Consortium, Department of Emergency Medicine, Middletown, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2019-07-19T15:01:59-04:00",
    "date_accepted": "2019-07-19T15:01:59-04:00",
    "date_published": "2019-07-22T15:37:29-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/701/galley/458/download/"
        }
    ]
}