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Intramural foreign body in oesophagus
N N Mathur1, Sandeep Kumar, Rajendra Bothra
1Department of ENT, Lady Hardinge Medical College and associated Smt. SK & KS Children's Hospital, New Delhi, India. nnm@vsnl.com
Summary
A rare case of an intramural esophageal foreign body, a coiled metallic wire, was found in a 6-month-old infant. The foreign body was successfully removed using rigid esophagoscopy with telescopic guidance.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Intramural foreign bodies in the esophagus are exceptionally rare, often leading to severe complications, high morbidity, and mortality.
- Foreign body ingestion is a common pediatric emergency, but intramural esophageal location is seldom reported, especially in infants.
Observation:
- A 6-month-old male infant presented with an incidentally discovered coiled metallic wire on a chest X-ray.
- Further investigation confirmed the foreign body was lodged intramurally within the esophagus.
Findings:
- The intramural esophageal foreign body was successfully retrieved using rigid esophagoscopy under telescopic guidance.
- This represents the first reported case of an intramural esophageal foreign body of this nature in an infant in English literature.
Implications:
- Highlights the importance of considering rare esophageal foreign body presentations in pediatric diagnostics.
- Demonstrates the efficacy of rigid esophagoscopy with telescopic guidance for managing complex esophageal foreign bodies in infants.
- Contributes to the limited literature on pediatric esophageal foreign bodies, emphasizing the need for awareness and specialized management techniques.