[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-435029-105":59,"doc-detail-435029-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","electronic-gastroscopy-in-identifying-hidden-tonsillar-foreign-bodies-a-case-of-a-completely-embedded-sunflower-seed-shell","Electronic Gastroscopy in Identifying Hidden Tonsillar Foreign Bodies - A Case of a Completely Embedded Sunflower Seed Shell","","Electronic gastroscopy can support diagnosis when pharyngeal foreign bodies are not identifiable by laryngoscopy. A 38-year-old woman developed persistent throat pain and foreign body sensation after eating sunflower seeds. Despite two otolaryngologic examinations with no visible foreign body, symptoms persisted. Gastroscopy under intravenous general anesthesia revealed a yellow dot on the right palatal tonsil consistent with complete embedding. Endoscopic extraction of a 4-mm fragment produced immediate symptom resolution.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/electronic-gastroscopy-in-identifying-hidden-tonsillar-foreign-bodies-a-case-of-a-completely-embedded-sunflower-seed-shell/435029/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/electronic-gastroscopy-in-identifying-hidden-tonsillar-foreign-bodies-a-case-of-a-completely-embedded-sunflower-seed-shell/435029.png","ImageObject",300,407,{"name":92,"@type":93},"Elsa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why can laryngoscopy fail to detect pharyngeal foreign bodies?","Question",{"text":112,"@type":113},"Foreign bodies may shift after swallowing, making detection by laryngoscopy difficult. Some foreign bodies can completely penetrate the tonsil and become hard to visualize.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What did gastroscopy reveal in this case?",{"text":117,"@type":113},"A yellow dot about 1 mm in diameter was observed on the right palatal tonsil, suggesting a completely embedded foreign body.",{"name":119,"@type":110,"acceptedAnswer":120},"How was the foreign body managed and what was the outcome?",{"text":121,"@type":113},"Foreign body forceps were used to extract an approximately 4-mm fibrous fragment. Symptoms including throat pain and foreign body sensation resolved completely immediately after removal.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},435029,1790911385,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},137455077381,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","e-ISSN 1941-5923  \n© Am J Case Rep, 2025; 26: e949052 DOI: 10. 12659/AJCR.949052  \nReceived: 2025.03.21  \nAccepted: 2025.10.01  \nAvailable online: 2025.11.10  \nPublished: 2025.12.16  \nAuthors’ Contribution: Study Design A  \nData Collection B Statistical Analysis C Data Interpretation D Manuscript Preparation E Literature Search F Funds Collection G  \nABCDEFG  \nCorresponding Author: Financial support: Conflict of interest:  \nElectronic Gastroscopy in Identifying Hidden Tonsillar Foreign Bodies: A Case of a Completely Embedded Sunflower Seed Shell  \nDeng Liang   \nDepartment of Gastroenterology, Lunjiao Hospital, Shunde District, Foshan, Guangdong, PR China  \nDeng Liang, e-mail: [59765109@163.com](59765109@163.com)  \nNone declared  \nNone declared  \nPatient: Female, 39-year-old  \nFinal Diagnosis: Foreign body in the tonsils  \nSymptoms: Pharyngodynia  \nClinical Procedure: —  \nSpecialty: Gastroenterology and Hepatology  \nObjective: Unusual clinical course  \nBackground: Pharyngeal foreign bodies are common in otolaryngology and often occur as isolated events. Swallowing can cause the foreign body to shift, making detection by laryngoscopy difficult. Delayed diagnosis and treatment may result in complications such as cervical masses, floor of mouth abscesses, retropharyngeal abscesses, laryngeal granulomas, or tongue masses. Penetration of a foreign body into the tonsil can lead to recurrent unilateral tonsillitis. For foreign bodies undetectable by laryngoscopy, digestive endoscopy may provide valuable diagnostic assistance.  \nCase Report: On June 1, 2024, a 38-year-old woman presented with throat pain and persistent foreign body sensation after consuming sunflower seeds. She underwent 2 otolaryngologic examinations, but no foreign body was detected by laryngoscopy, and her symptoms persisted. On June 3, she underwent gastroscopy under intravenous general anesthesia. A yellow dot was observed on the right palatal tonsil, suggesting a completely embedded foreign body. Using foreign body forceps, a 4-mm wooden fibrous fragment was extracted. The patient experienced immediate relief; her throat pain and foreign body sensation completely resolved after removal.  \nConclusions: When a foreign body cannot be identified by laryngoscopy, it may have completely penetrated the tonsil. In such cases, electronic gastroscopy can serve as a valuable adjunct in the diagnosis and management of pharyngeal foreign bodies.  \nKeywords: Foreign Bodies • Gastroscopes • Tonsillitis  \nFull-text PDF: [https://www.amjcaserep.com/abstract/index/idArt/949052](https://www.amjcaserep.com/abstract/index/idArt/949052)  \nPublisher’s note: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher  \nThis work is licensed under Creative Common AttributionNonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)  \ne949052-1  \nIndexed in: [PMC] [PubMed] [Emerging Sources Citation Index (ESCI)][Web of Science by Clarivate]  \nLiang D.:  \nHidden tonsillar foreign body detected by electronic gastroscopy © Am J Case Rep, 2025; 26: e949052  \nIntroduction  \nPharyngeal foreign bodies are mainly detected via laryngoscopy. Sunflower seed shells are a common type of pharyngeal foreign body, but complete penetration of the tonsil is rare and easily misdiagnosed. In cases where laryngoscopy fails to detect a foreign body, electronic gastroscopy may provide diagnostic assistance. The following report describes a case in which a pharyngeal foreign body was identified through electronic gastroscopy.  \nCase Report  \nA 38-year-old woman experienced throat pain and foreign body sensation after consuming sunflower seeds; she sought treatment at the otolaryngology department on June 1, 2024. Although no ","cbCaiilV6ts2jkqx","https://ap.wps.com/l/cbCaiilV6ts2jkqx","pdf",818645,"English","# Introduction\n# Case Report\n## Gastroscopy procedure and findings\n# Conclusions","[{\"question\":\"Why can laryngoscopy fail to detect pharyngeal foreign bodies?\",\"answer\":\"Foreign bodies may shift after swallowing, making detection by laryngoscopy difficult. Some foreign bodies can completely penetrate the tonsil and become hard to visualize.\"},{\"question\":\"What did gastroscopy reveal in this case?\",\"answer\":\"A yellow dot about 1 mm in diameter was observed on the right palatal tonsil, suggesting a completely embedded foreign body.\"},{\"question\":\"How was the foreign body managed and what was the outcome?\",\"answer\":\"Foreign body forceps were used to extract an approximately 4-mm fibrous fragment. Symptoms including throat pain and foreign body sensation resolved completely immediately after removal.\"}]","Electronic Gastroscopy in Identifying Hidden Tonsillar Foreign Bodies - A Case of a Completely Embedded Sunflower Seed Shell | PDF",1790671500]