Abstract

Introduction - Acharya Sushrut defined Shalya Tantra as the science that deals with the removal of different kinds of Shalya (foreign body) and application of Yantra, Shastra, Kshara, Agni and Vrana Nidana.  Acharya had given separate chapter for Pranashta Shalya (foreign body) Diagnosis and its removal. Acharya Sushrutha considered, that which is causing pain to body as “Shalya”. Pranashta means that which is not visible. Pranashta Shalya means invisible foreign body hidden inside the body. Foreign body ingestion and impaction remains a common problem both in paediatric and adult populations.

Method – A 14 years old male patient having history of ingestion of fish bone 1 yr ago for this he took home remedies and treatment at private hospital. X-ray s/o of no   any abnormalities but patient got no relief after 6 month of ingestion, abscess formed and burst externally and there was pus discharge (on and off) from small opening near hyoid bone anterior aspect of neck on the left side since 6 months.  Patient was planned for exploration and extraction of foreign body under general anesthesia which is the necessary and immediate treatment. In this case study urgent exploration and extraction of foreign body was done to prevent irreversible sequelae, as foreign body that is not quickly extracted and they can cause several life-threatening complications such as perforation of the esophagus, deep neck infection/abscess, mediastinitis / mediastinal abscess, and aortoesophageal fistula.

Result- Patient recovered from pain completely after removal of foreign body and disappear hyper echoic area Ultra sonographycally. No any complication / discharge noted upto 6 months after surgery.

Conclusion- In this case an effort has been made to draw special attention on ancient surgical concepts of Sushruta Samhita practicing today with few refinement. Penetrating wounds can damage nerves or blood vessels. Evaluating patient’s sensation and circulation is essential. Superficial foreign bodies can sometimes be palpated or visualized. Deeper foreign bodies may require additional methods to localize.

Keywords- Pranshtashalya; Shalya Nirharana; Fish Bone; Foreign Body; Migrating Foreign Body.