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Hooking a chronically embedded esophageal coin
1Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, KS 67214-3882, USA.
Journal of Pediatric Surgery
|December 25, 2003
Summary
A chronically embedded esophageal foreign body, a penny, was successfully removed using a laparoscopic cautery hook. This method proved effective when standard forceps failed, offering a novel solution for difficult esophageal impactions.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Medical Devices
Background:
- Foreign body ingestion is common, with esophageal impaction posing significant risks.
- Chronic esophageal foreign bodies can lead to complications like perforation and stricture.
- Conventional endoscopic retrieval methods are not always successful.
Observation:
- A patient presented with a penny chronically embedded in the esophageal wall.
- Standard foreign body forceps were unable to dislodge or grasp the embedded coin.
- The foreign body was lodged deeply within the esophageal tissue.
Findings:
- A laparoscopic cautery hook was utilized for foreign body removal.
- The cautery hook successfully facilitated the extraction of the embedded penny.
- Minimally invasive laparoscopic approach enabled effective removal.
Implications:
- Laparoscopic cautery hook offers a viable alternative for managing refractory esophageal foreign bodies.
- This technique may reduce the need for more invasive surgical procedures.
- Highlights the importance of tailored approaches for complex foreign body retrieval in the esophagus.