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Embedded sharp metallic spring in esophagus.

T S Anand1, D Kumar, S Kumar

  • 1Department of ENT, Lady Hardinge Medical College, Delhi, India.

International Journal of Pediatric Otorhinolaryngology
|June 9, 2001
PubMed
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Esophageal foreign body removal is usually endoscopic, but rare, sharp objects like metallic springs may require surgical esophagotomy after failed endoscopic attempts. This case highlights challenges in retrieving such difficult foreign bodies.

Area of Science:

  • Gastroenterology
  • Surgical Endoscopy
  • Foreign Body Management

Background:

  • Esophageal foreign bodies are common, with most successfully removed endoscopically.
  • Surgical intervention (esophagotomy) is reserved for rare, irretrievable cases, accounting for less than 1%.

Observation:

  • A patient presented with an impacted metallic spring foreign body in the esophagus.
  • The foreign body had sharp, opposing ends, complicating removal.
  • Two prior endoscopic removal attempts were unsuccessful.

Findings:

  • The metallic spring's unique shape and impaction mode presented significant endoscopic removal challenges.
  • Esophagotomy was ultimately required for successful foreign body extraction.

Related Experiment Videos

Implications:

  • This case underscores the limitations of endoscopic techniques for certain complex esophageal foreign bodies.
  • It highlights the necessity of surgical esophagotomy in specific, challenging scenarios.
  • Understanding impaction dynamics is crucial for managing difficult esophageal foreign bodies.