International Journal of Indian Medicine

ISSN: 0000-0000

Year: 2022 |Volume: 1 | Issue: 03


A CASE REPORT: EXTRACTION OF MIGRATORY FOREIGN BODY (SHALYA NIRHARANA)

About Author

Shahare KP1 , Shinde J2 , Badwe Y3 , Rangari AR4

11. PG Scholar, Department of Shalyatantra, Shri Ayurved Mahavidyalaya, Nagpur, Maharashtra, India, Mob no. 9765654042, 9529161313, Email-kamlakar508@gmail.com

22. Professor and HOD, Department of Shalyatantra, Shri Ayurved Mahavidyalaya, Nagpur, Maharashtra

33. Professor and HOD, Department of Shalyatantra, All India Institute of Ayurveda, New Delhi India,

4PG Scholar, Department of Shalyatantra, Shri Ayurved Mahavidyalaya, Nagpur.


Date of Acceptance: 2022-09-30

Date of Publication:2022-10-16

Correspondence Address:

: Dr. Kamlakar Prakash Shahare, PG Scholar, Department of Shalyatantra, Shri Ayurved Mahavidyalaya, Nagpur, Maharashtra, India, Mob no. 9765654042, 9529161313, Email-kamlakar508@gmail.com
Article-ID:AYU_29_10_22 https://ijim.co.in

Keywords:


Source of Support: Nill

Conflict of Interest: Nill


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.